| Reno Sparks Tribal Health Center | |
|
1715 Kuenzli Street Reno NV 89502-1117 | |
| (775) 329-5162 | |
| (775) 334-4350 |
| Full Name | Reno Sparks Tribal Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1715 Kuenzli Street, Reno, Nevada |
| Authorized Official Name and Position | Elvin Willie (ACTING CLINIC DIRECTOR) |
| Authorized Official Contact | 7753295162 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reno Sparks Tribal Health Center 1715 Kuenzli Street Reno NV 89502-1117 Ph: (775) 329-5162 | Reno Sparks Tribal Health Center 1715 Kuenzli Street Reno NV 89502-1117 Ph: (775) 329-5162 |
| NPI Number | 1497700801 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 05/24/2012 |
| Medicare PECOS PAC ID | 6507761897 |
|---|---|
| Medicare Enrollment ID | O20031201000208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497700801 | NPI | - | NPPES |
| 004716904 | Medicaid | NV | |
| 003116904 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (Nevada) | Primary |
| Provider Name | David Prothro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1942208426 PECOS PAC ID: 1254395171 Enrollment ID: I20050128000275 |
| Provider Name | Andrew K Bader |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1932437589 PECOS PAC ID: 7315994639 Enrollment ID: I20050407000918 |
| Provider Name | Saide Altinsan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689612079 PECOS PAC ID: 8022026368 Enrollment ID: I20060329000282 |
| Provider Name | Garnet M Yokoi |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1487845731 PECOS PAC ID: 2466545611 Enrollment ID: I20100420000571 |
| Provider Name | Taira L Enewold |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134454218 PECOS PAC ID: 4385884931 Enrollment ID: I20130703000124 |
| Provider Name | Earl S Nielsen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043338593 PECOS PAC ID: 8527284645 Enrollment ID: I20140728000143 |
| Provider Name | Craig M Black |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1912083916 PECOS PAC ID: 3476506619 Enrollment ID: I20180406002314 |
Functional Medicine Of Nevada Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6490 S Mccarran Blvd Ste 16, Reno, NV 89509 Phone: 208-385-7711 | |
Neil Road Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3915 Neil Rd, Reno, NV 89502 Phone: 775-870-4333 Fax: 775-870-4633 | |
John R. Lemieux Md Ltd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6630 S. Mccorran Blvd, Building B Suite 16, Reno, NV 89509 Phone: 775-323-5116 Fax: 775-323-7140 | |
Kelly King Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1180 Sharon Way, Reno, NV 89509 Phone: 775-376-1507 | |
Triangle Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1475 Terminal Way, Suite A1, Reno, NV 89502 Phone: 775-331-6400 | |
Dr. Gary Danchak, Omd Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9393 Gateway Dr, Reno, NV 89521 Phone: 775-849-9800 Fax: 775-849-9801 | |
Mountain Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9710 S Mccarran Blvd, Reno, NV 89523 Phone: 775-624-6000 Fax: 775-624-6010 |