State Of Nevada

LBN: State Of Nevada
State Of Nevada is an health care organization with primary practice located at 1161 S Valley View Blvd , Las Vegas NV 89102-1854. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. State Of Nevada can be contacted via phone (702) 486-7670, or through Mulvenon, Janelle via phone (775) 688-0327.

Contact Information

Primary practice address
1161 S Valley View Blvd Las Vegas NV 89102-1854
Phone: (702) 486-7670
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mulvenon, Janelle
Phone: (775) 688-0327

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X

Profile Details

NPI number 1861620759
LBN Legal business name State Of Nevada
DBA Doing business as
Authorized official Mulvenon, Janelle
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2009
Last updated Jun 30th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1861620759 NPPES
Nevada MEDICAID 002302024

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