| Reno Sparks Tribal Health Center | |
|
1715 Kuenzli St Reno NV 89502-1117 | |
| (775) 329-5162 | |
| (775) 334-4357 |
| Full Name | Reno Sparks Tribal Health Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1715 Kuenzli St, Reno, Nevada |
| Authorized Official Name and Position | Cordelia Abel-johnson (COMMUNITY HEALTH SUPERVISOR) |
| Authorized Official Contact | 7753295162 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reno Sparks Tribal Health Center 1715 Kuenzli St Reno NV 89502-1117 Ph: (775) 329-5162 | Reno Sparks Tribal Health Center 1715 Kuenzli St Reno NV 89502-1117 Ph: (775) 329-5162 |
| NPI Number | 1730488644 |
|---|---|
| Provider Enumeration Date | 03/17/2011 |
| Last Update Date | 03/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730488644 | NPI | - | NPPES |
| LPN07194 | Other | NV | 164W00000X |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | LPN07194 (Nevada) | Primary |
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