State of Nevada

NPI #1205075496 in Fallon, Nevada

Provider Information

NPI Number: 1205075496
Entity Type: Organization
Organization Name: State of Nevada
Primary Specialty: Case Management
Enumeration Date: Feb 11, 2009
Last Updated: Feb 11, 2009

Practice Location

Address: 151 N MAINE ST
City: Fallon
State: Nevada
ZIP Code: 89406-2902
Phone: (775) 423-7141

Authorized Official

Name: SIRI MCMILLIN
Title: BILLING SUPERVISOR
Phone: (775) 687-7573

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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