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State Of Nevada
Psychiatric Hospital in Sparks, Nevada
NPI 1972501021

State Of Nevada is a Psychiatric Hospital based in Carson City, NV. State Of Nevada practices in Sparks, NV. The NPI Number for State Of Nevada is 1972501021 and holds a License No. 652HOS-14 (Nevada).

The current practice location address for State Of Nevada is 480 Galletti Way, Sparks, NV and can be reached out via phone at 775-688-0400 and via fax at 775-688-0434.

Location: 480 Galletti Way, Sparks, NV, 89706-2026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1972501021
Provider Name
State Of Nevada
Credential
Provider Entity Type
Organization
Address
480 Galletti Way, Sparks, NV, 89706-2026
Phone Number
775-688-0400
Fax Number
775-688-0434
Provider Enumeration Date
07/12/2005
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
005416864 05 NV
001416864 05 NV
100501303 05 NV
100503395 05 NV
VN29400029400 01 NV MEDICARE/MEDICARE PIN
002016864 05 NV
001316864 05 NV
002816864 05 NV
institution
Provider Business Practice Location Address Details
Address
480 Galletti Way
City
Sparks
State
Nevada
Zip
89431-5564
Phone Number
775-688-0400
Fax Number
775-688-0434
person
Provider Business Mailing Address Details
Address
480 Galletti Way
City
Sparks
State
Nevada
Zip
89431-5564
Phone Number
775-688-0400
Fax Number
775-688-0434
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
652HOS-14 (Nevada)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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