NPIMap

Organization Active NPI

State of Nevada

Doing business as MHDS Rural Regional Center

  • Public Health or Welfare Agency
  • Carson City, NV
National Provider Identifier
1336203892
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
STATE OF NEVADA
Doing business as
MHDS Rural Regional Center
Practice address
1665 Old Hot Springs Rd Ste 157
Carson City, NV 89706-0663
Phone
(775) 687-5162
Fax
(775) 687-5745
NPI assigned
Dec 20, 2006
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Marcia Bennett, PH. D.
Title
Director
Phone
(775) 687-5162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1665 Old Hot Springs Rd Ste 157
Carson City, NV 89706-0663

Mailing address

1665 Old Hot Springs Rd Ste 157
Carson City, NV 89706-0663
Phone (775) 687-5162

Other identifiers 3

IdentifierTypeStateIssuer
03813092MedicaidNV
03813096MedicaidNV
005413091MedicaidNV

Other names 1

  • MHDS RURAL REGIONAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
State of Nevada Bureau125 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1336203892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1665 OLD HOT SPRINGS RD STE 157",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060663",
            "telephone_number": "775-687-5162",
            "fax_number": "775-687-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 OLD HOT SPRINGS RD STE 157",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060663",
            "telephone_number": "775-687-5162",
            "fax_number": "775-687-5745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BENNETT",
        "authorized_official_first_name": "MARCIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "775-687-5162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH. D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03813092",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03813096",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005413091",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MHDS RURAL REGIONAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.