Reno Sparks Indian Colony

NPI #1497700801 in Reno, Nevada

Provider Information

NPI Number: 1497700801
Entity Type: Organization
Organization Name: Reno Sparks Indian Colony
Subpart: Yes (part of a larger organization)
Parent Organization: RENO SPARKS INDIAN COLONY DBA RENO SPARKS TRIBAL HEALTH CENTER
Primary Specialty: Clinic/Center
Enumeration Date: May 23, 2006
Last Updated: May 24, 2012

Practice Location

Address: 1715 KUENZLI STREET
City: Reno
State: Nevada
ZIP Code: 89502-1117
Phone: (775) 329-5162

Authorized Official

Name: MR. ELVIN WILLIE
Title: ACTING CLINIC DIRECTOR
Phone: (775) 329-5162

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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