# NEVADA DEPARTMENT OF CORRECTIONS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902009897
- **Authorized official:** DR. ROBERT BRUCE BANNISTER D.O. (MEDICAL DIRECTOR)
- **Authorized official phone:** (775) 887-3392

## Contact information

- **Practice address:** 5500 SNYDER AVE, ATTENTION MEDICAL DIVISION, CARSON CITY, NV 89701-6752
- **Practice address phone:** (775) 887-3223
- **Mailing address:** 5500 SNYDER AVE, ATTENTION MEDICAL DIVISION, CARSON CITY, NV 89701-6752
- **Mailing address phone:** (775) 887-3223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2400X | Prison Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/07/2007
- **Last updated:** 08/22/2020