Organization
RENO SPARKS INDIAN COLONY
Active
Parent organization
RENO SPARKS INDIAN COLONY DBA RENO SPARKS TRIBAL HEALTH CENTER
Other names
reno sparks tribal health center
Organization subpart
Yes
Provider details
NPI number
Legal business name
RENO SPARKS INDIAN COLONY DBA RENO SPARKS TRIBAL HEALTH CENTER
Authorized official
MR. ELVIN WILLIE (ACTING CLINIC DIRECTOR)
(775) 329-5162
Entity
Organization
Contact information
Practice address
1715 KUENZLI STREET, RENO, NV 89502-1117
(775) 329-5162
(775) 334-4350
Mailing address
1715 KUENZLI STREET, RENO, NV 89502-1117
(775) 329-5162
(775) 334-4350
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
NV
261Q00000X
Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003116904
—
NV
05
—
004716904
—
NV
Enumeration date
05/23/2006
Last updated
05/24/2012
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