Reno Sparks Tribal Health Center

LBN: Reno Sparks Indian Colony
Reno Sparks Tribal Health Center is an health care organization with primary practice located at 1715 Kuenzli Street , Reno NV 89502-1117. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Reno Sparks Indian Colony can be contacted via phone (775) 329-5162, or through Willie, Elvin via phone (775) 329-5162.

Contact Information

Primary practice address
1715 Kuenzli Street Reno NV 89502-1117
Phone: (775) 329-5162
Fax: (775) 334-4350
Website:
Map and Directions
Authorized official contact:
Name: Willie, Elvin
Phone: (775) 329-5162

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X Nevada

Profile Details

NPI number 1497700801
LBN Legal business name Reno Sparks Indian Colony
DBA Doing business as Reno Sparks Tribal Health Center
Authorized official Willie, Elvin
Entity Organization
Organization subpart 1 Yes
Enumeration date May 23rd, 2006
Last updated May 24th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497700801 NPPES
Nevada MEDICAID 004716904
Nevada MEDICAID 003116904

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