| State Of Nevada | |
|
119 Saint Patrick St Tonopah NV 89049 | |
| (775) 482-6742 | |
| (775) 482-3718 |
| Full Name | State Of Nevada |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 119 Saint Patrick St, Tonopah, Nevada |
| Authorized Official Name and Position | Ellen Richardson-adams (AGENCY MANAGER) |
| Authorized Official Contact | 7024864400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Nevada Attn Cyndi Smith 240 S. Humahuaca Pahrump NV 89048-2199 Ph: (775) 751-7406 | State Of Nevada 119 Saint Patrick St Tonopah NV 89049 Ph: (775) 482-6742 |
| NPI Number | 1184706012 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 11/14/2022 |
| Certification Date | 11/09/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184706012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Westcare Nevada Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Frankie Street, Tonopah, NV 89049 Phone: 702-385-3330 Fax: 702-924-2575 | |
My Mental Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 591 N Main St, Tonopah, NV 89049 Phone: 702-981-9080 | |
Lotus Medical Group Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 825 South Main Street Box#393, #393, Tonopah, NV 89049 Phone: 775-382-2000 |