Provider Type Icon

RENO SPARKS INDIAN COLONY NPI 1497700801


NPI Information

NPI: 1497700801
Provider Name: RENO SPARKS INDIAN COLONY

Doing Business As: RENO SPARKS TRIBAL HEALTH CENTER

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1715 KUENZLI STREET
RENO, NV
ZIP 89502
Phone: (775) 329-5162
Get Directions

RENO SPARKS INDIAN COLONY is a clinic center in Reno, NV. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RENO SPARKS INDIAN COLONY NPI is 1497700801. The provider is registered as an organization entity type.
The provider Is Doing Business As Reno Sparks Tribal Health Center.

The provider's business location address is:

1715 KUENZLI STREET
RENO, NV
ZIP 89502-117
Phone: (775) 329-5162
Fax: (775) 334-4350

The provider's authorized official is Elvin Willie .
The authorized official title is Acting Clinic Director and has the following contact phone number (775) 329-5162.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 5/24/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261Q00000XClinic/CenterNEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003116904MEDICAIDNEVADA
2004716904MEDICAIDNEVADA
3WCGTXMEDICARE PINNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.