Provider Demographics
NPI:1164592424
Name:STATE OF NEVADA HEALTH DIVISION
Entity Type:Organization
Organization Name:STATE OF NEVADA HEALTH DIVISION
Other - Org Name:BUREAU OF COMMUNITY HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:DIVISION PRIVACY OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:JON
Authorized Official - Middle Name:
Authorized Official - Last Name:SEDRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-684-5850
Mailing Address - Street 1:4150 TECHNOLOGY WAY
Mailing Address - Street 2:#300
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-2009
Mailing Address - Country:US
Mailing Address - Phone:775-684-4200
Mailing Address - Fax:775-684-4211
Practice Address - Street 1:4150 TECHNOLOGY WAY
Practice Address - Street 2:#300
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-2009
Practice Address - Country:US
Practice Address - Phone:775-684-4200
Practice Address - Fax:775-684-4211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-08
Last Update Date:2007-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare