Northern Nevada Hiv Outpatient Program, Education and Services

NPI #1093421919 in Reno, Nevada

Provider Information

NPI Number: 1093421919
Entity Type: Organization
Organization Name: Northern Nevada Hiv Outpatient Program, Education and Services
Subpart: Yes (part of a larger organization)
Parent Organization: NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES
Primary Specialty: Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date: Jan 24, 2023
Last Updated: Aug 23, 2024

Practice Location

Address: 1905 E 4TH ST
City: Reno
State: Nevada
ZIP Code: 89512-3789
Phone: (775) 786-4673

Authorized Official

Name: DEBRA L DE VAY
Title: CFO
Phone: (775) 997-7579

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC)	261QF0400X	Primary

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Community Health Alliance	Clinic/Center - Federally Qualified Health Center (FQHC)	Reno	AI Deep Dive
Northern Nevada Hiv Outpatient Program, Education and Services Part of Northern Nevada Hiv Outpatient Program, Education and Services	Clinic/Center - Federally Qualified Health Center (FQHC)	Reno	AI Deep Dive
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