| Northern Nevada Hiv Outpatient Program, Education And Services | |
|
1905 E 4th St Reno NV 89512-3789 | |
| (775) 786-4673 | |
| Not Available |
| Full Name | Northern Nevada Hiv Outpatient Program, Education And Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1905 E 4th St, Reno, Nevada |
| Authorized Official Name and Position | Debra L De Vay (CFO) |
| Authorized Official Contact | 7759977579 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Nevada Hiv Outpatient Program, Education And Services 580 W 5th St Reno NV 89503-4407 Ph: (775) 786-4673 | Northern Nevada Hiv Outpatient Program, Education And Services 1905 E 4th St Reno NV 89512-3789 Ph: (775) 786-4673 |
| NPI Number | 1093421919 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 08/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093421919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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