State of Nevada

Organization Active NPI Case Management Agency · Hawthorne, NV

NPI 1881833077 · NPPES record last updated Feb 11, 2009

Key facts

NPI
1881833077
Entity type
Organization (NPI type 2)
Primary specialty
Case Management Agency 251B00000X
License
NA (NV)
Legal business name
STATE OF NEVADA
Practice address
1000 C Street
Hawthorne, NV 89415
Phone
(775) 945-3387
Fax
(775) 945-2307
NPI assigned
Feb 11, 2009
Organization subpart
No

Authorized official

Name
Siri McMillin
Title
Billing Supervisor
Phone
(775) 687-7573

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Nevada State Health Division (125 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NA NV Yes

Addresses

Primary practice location

1000 C Street
Hawthorne, NV 89415

Mailing address

4126 Technology Way
Suite 102
Carson City, NV 89706-2066
Phone (775) 687-7573

Other identifiers

IdentifierTypeStateIssuer
005411001MedicaidNV

Other names

  • HAWTHORNE MENTAL HEALTH CENTER Doing business as

Other providers in Hawthorne, NV

All providers in Hawthorne, NV · Case Management Agency in Nevada

Sources for this page

Verify at the official NPI Registry.