Organization
NORTHERN SIERRA DIALYSIS CENTER, LLC.
Active
Other names
Northern Sierra Dialysis Center at South Meadows
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT KEITH VAN WAGNER (EXECUTIVE DIRECTOR)
(775) 982-4027
Entity
Organization
Contact information
Practice address
10085 DOUBLE R BLVD, STE 160, RENO, NV 89511
(775) 982-4027
(775) 982-8104
Mailing address
1500 E 2ND ST STE 101, RENO, NV 89502-1189
(775) 982-4027
(775) 982-8104
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
3410ESR-4
NV
Other
Enumeration date
09/07/2006
Last updated
09/30/2008
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