CORECIVIC
NPI 1194410332
Clinic/Center - Prison Health in Pahrump, NV
About Corecivic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORECIVIC (NPI 1194410332) is a healthcare organization registered as a prison health in Pahrump, Nevada and active in the NPI registry since April 2023. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Shelley Renee Thompson, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 29D2015838
Nevada Southern Detention Ctr-Medical Dept · Pahrump, NVOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nevada Southern Detention Center's NPI number?
The NPI number for Nevada Southern Detention Center is 1194410332. It was assigned to this organization in the NPPES registry on April 5, 2023. The provider is also known as Corecivic.
Where is Nevada Southern Detention Center located?
Nevada Southern Detention Center is located at 2190 E Mesquite Ave, Pahrump, NV 89060. The listed phone number is (775) 751-4500.
What is Nevada Southern Detention Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Prison Health, with taxonomy code 261QP2400X.
Does Nevada Southern Detention Center hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 29D2015838) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Nevada Southern Detention Center was last updated on December 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Corecivic · NPI 1194410332
Prison Health organization in Pahrump, Nevada. Organization record, active in the CMS NPPES registry since April 5, 2023.
## Identity
- **NPI:** 1194410332 (Entity type: Organization)
- **Enumerated:** April 5, 2023
- **Primary specialty:** Clinic/Center - Prison Health · taxonomy 261QP2400X
- **Legal business name:** Nevada Southern Detention Center
- **Organization subpart:** No
- **Authorized official:** Shelley Thompson, OWNER
## Practice location
- **Address:** 2190 E MESQUITE AVE, Pahrump, NV 89060-3427
- **Phone:** (775) 751-4500
## Record status
- **NPPES last updated:** December 22, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194410332) · Data from the CMS NPPES public registry.