Organization
NEVADA SOUTHERN DETENTION CENTER
Active
Other names
Corecivic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY RENEE THOMPSON NP (OWNER)
(928) 201-2035
Entity
Organization
Contact information
Practice address
2190 E MESQUITE AVE, PAHRUMP, NV 89060-3427
(775) 751-4500
Mailing address
1280 E CALVADA BLVD, PAHRUMP, NV 89048-5693
(928) 201-2035
Taxonomy
Speciality
Code
Description
License number
State
261QP2400X
Prison Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2023
Last updated
12/22/2023
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