Corecivic

LBN: Nevada Southern Detention Center
Corecivic is an health care organization with primary practice located at 2190 E Mesquite Ave , Pahrump NV 89060-3427. The organization recently has only one registered license in Ambulatory Health Care Facilities / Prison Health, which is considered as the primary health care specialty. Nevada Southern Detention Center can be contacted via phone (775) 751-4500, or through Thompson, Shelley Renee via phone (928) 201-2035.

Contact Information

Primary practice address
2190 E Mesquite Ave Pahrump NV 89060-3427
Fax:
Website:
Authorized official contact:
Name: Thompson, Shelley Renee Nurse Practitioner (NP)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Prison Health 261QP2400X

Profile Details

NPI number 1194410332
LBN Legal business name Nevada Southern Detention Center
DBA Doing business as Corecivic
Authorized official Thompson, Shelley Renee Nurse Practitioner (NP)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 5th, 2023
Last updated Dec 22nd, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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