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NPI Code Detail

MEDICARE: STATE OF NEVADA - SNCAS CASE MANAGEMENT

MEDICARE: STATE OF NEVADA - SNCAS CASE MANAGEMENT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679640023
Entity Type Code : Organization
Provider Name (Legal Business Name) : STATE OF NEVADA - SNCAS CASE MANAGEMENT
Provider Business Mailing Address
First Line : 500 E WARM SPRINGS RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89119-4344
Country : US
Telephone Number : 702-486-8226
Fax Number : 702-486-6057
Provider Business Practice Location Address
First Line : 4538 W CRAIG RD STE 290
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-2511
Country : US
Telephone Number : 702-486-5610
Fax Number : 702-486-5503
Authorized Official
Title or Position : MANAGEMENT ANALYST 4
Name : SANDRA STONE
Credential :
Telephone Number : 702-486-8226
Provider Enumeration Date : 11/29/2006
Last Update Date : 02/13/2025

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1235149303 — NATHALIE M CLYNE
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1891028593 — SILVIA LORENA CUEVAS ARIAS
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1235456708 — MS. JOLENE MARIE STEVER M.F.T.
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Directions to “STATE OF NEVADA - SNCAS CASE MANAGEMENT ” Practice Location

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