CORECIVIC
NPI 1194410332
Clinic/Center - Prison Health in Pahrump, NV

NPI Status: Active since April 05, 2023

Contact Information

2190 E MESQUITE AVE
PAHRUMP, NV
ZIP 89060
Phone: (775) 751-4500

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  • Organization
  • Clinic/Center
  • Prison Health
  • CLIA Number: 29D2015838
  • CLIA Cert. Type: Prison
  • CLIA Exp. Date: 11-04-2026

About CORECIVIC

This page provides the complete NPI Profile along with additional information for Corecivic, a provider established in Pahrump, Nevada operating as a Clinic/center, focusing in prison health . The healthcare provider is registered in the NPI registry with number 1194410332 assigned on April 2023. The practitioner's primary taxonomy code is 261QP2400X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Corecivic. The authorized official of this NPI record is Mrs. Shelley Renee Thompson Np (Owner)

NPI
1194410332
Provider Legal Name
NEVADA SOUTHERN DETENTION CENTER
Other Organization Name
CORECIVIC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2190 E MESQUITE AVE PAHRUMP, NV 89060
Location Phone
(775) 751-4500
Mailing Address
1280 E CALVADA BLVD PAHRUMP, NV 89048
Mailing Phone
(928) 201-2035
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-05-2023
Last Update Date
12-22-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Prison Health

Taxonomy Code
261QP2400X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. SHELLEY RENEE THOMPSON NP

Authorized Official Title
OWNER
Authorized Official Phone
(928) 201-2035

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
29D2015838
Facility Type
Prison
Certificate Effective Date
November 05, 2024
Certificate Expiration Date
November 04, 2026
Laboratory Director
HARSHJIT SINGH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Corecivic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194410332, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
3
Unchanged
Pos 9
3
Doubled → 6
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 4 → 8 0 → 0 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 8 + 1 + 0 + 3 + 6 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1194410332.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Psychologist (Clinical)
2190 E MESQUITE AVE
PAHRUMP, NV 89060

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194410332, enumerated as an "organization" on April 05, 2023.

The provider is located at 2190 E MESQUITE AVE PAHRUMP, NV 89060 and the phone number is (775) 751-4500.

Clinic/Center with taxonomy code 261QP2400X and a focus in Prison Health.