| Northern Nevada Medical Center | |
|
2375 E Prater Way Sparks NV 89434-9641 | |
| (775) 331-7000 | |
| Not Available |
| Full Name | Northern Nevada Medical Center |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 2375 E Prater Way, Sparks, Nevada |
| Authorized Official Name and Position | Steve Filton (CFO, SENIOR VP) |
| Authorized Official Contact | 6107683300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Nevada Medical Center 2375 E Prater Way Sparks NV 89434-9641 Ph: (775) 331-7000 | Northern Nevada Medical Center 2375 E Prater Way Sparks NV 89434-9641 Ph: (775) 331-7000 |
| NPI Number | 1851381768 |
|---|---|
| Provider Enumeration Date | 10/24/2005 |
| Last Update Date | 01/24/2022 |
| Certification Date | 01/24/2022 |
| Medicare PECOS PAC ID | 9234042607 |
|---|---|
| Medicare Enrollment ID | O20070626000788 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851381768 | NPI | - | NPPES |
| 001116400 | Medicaid | NV | |
| 232537015 | Other | NV | CHAMPUS |
| 1016400 | Medicaid | NV | |
| 100512383 | Medicaid | NV | |
| 001216400 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 653HOS-10 (Nevada) | Primary |
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