NPIMap

Organization Active NPI

Nevada Department of Corrections

  • Prison Health Clinic/Center
  • Carson City, NV
National Provider Identifier
1902009897
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prison Health Clinic/CenterTaxonomy code 261QP2400X
Legal business name
NEVADA DEPARTMENT OF CORRECTIONS
Practice address
5500 Snyder Ave
Attention Medical Division
Carson City, NV 89701-6752
Phone
(775) 887-3223
NPI assigned
Jun 7, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Bruce Bannister, D.O.
Title
Medical Director
Phone
(775) 887-3392

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prison Health Clinic/Center 261QP2400X NU Primary

Addresses

Primary practice location

5500 Snyder Ave
Attention Medical Division
Carson City, NV 89701-6752

Mailing address

5500 Snyder Ave
Attention Medical Division
Carson City, NV 89701-6752
Phone (775) 887-3223

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

Locations

5500 Snyder Ave
Carson City, NV 89701
Phone (775) 887-3223

NPI Registry JSON

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902009897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 SNYDER AVE",
            "address_2": "ATTENTION MEDICAL DIVISION",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897016752",
            "telephone_number": "775-887-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 SNYDER AVE",
            "address_2": "ATTENTION MEDICAL DIVISION",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897016752",
            "telephone_number": "775-887-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA DEPARTMENT OF CORRECTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BANNISTER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "775-887-3392",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; 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.