| Nevada Urban Indians, Inc. | |
|
6512 S. Mccarran Blvd. Suite A, B, C Reno NV 89509 | |
| (775) 788-7600 | |
| (775) 788-7611 |
| Full Name | Nevada Urban Indians, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 6512 S. Mccarran Blvd., Reno, Nevada |
| Authorized Official Name and Position | Janet Reeves (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7757887600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevada Urban Indians, Inc. 6512 S. Mccarran Blvd. Suite A, B, C Reno NV 89509 Ph: (775) 788-7600 | Nevada Urban Indians, Inc. 6512 S. Mccarran Blvd. Suite A, B, C Reno NV 89509 Ph: (775) 788-7600 |
| NPI Number | 1235547993 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 08/25/2016 |
| Medicare PECOS PAC ID | 2163601568 |
|---|---|
| Medicare Enrollment ID | O20160406001140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235547993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| Provider Name | Jemia Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023475142 PECOS PAC ID: 0941592505 Enrollment ID: I20201117002984 |
| Provider Name | Alisa Anne Bean |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1417547191 PECOS PAC ID: 8527473545 Enrollment ID: I20210224001136 |
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