Organization
SPARKS FAMILY HOSPITAL INC
Active
Other names
Northern Nevada Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE FILTON (CFO, SENIOR VP)
(610) 768-3300
Entity
Organization
Contact information
Practice address
2375 E PRATER WAY, SPARKS, NV 89434-9641
(775) 331-7000
Mailing address
2375 E PRATER WAY, SPARKS, NV 89434-9641
(775) 331-7000
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
653HOS-10
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001116400
—
NV
05
—
001216400
—
NV
05
—
1016400
—
NV
01
—
232537015
CHAMPUS
NV
Enumeration date
10/21/2005
Last updated
01/24/2022
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