State of Nevada

NPI #1396984589 in Ely, Nevada

Provider Information

NPI Number: 1396984589
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: 1675 AVENUE F
City: Ely
State: Nevada
ZIP Code: 89301-3500
Phone: (775) 289-1671

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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