Organization
NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES
Active
Parent organization
NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES
Authorized official
DEBRA L DE VAY (CFO)
(775) 997-7579
Entity
Organization
Contact information
Practice address
1905 E 4TH ST, RENO, NV 89512-3789
(775) 786-4673
Mailing address
580 W 5TH ST, RENO, NV 89503-4407
(775) 786-4673
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
08/23/2024
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