| North Valley | |
|
280 Vista Knoll Pkwy Ste 107 Reno NV 89506-5649 | |
| (775) 329-6300 | |
| Not Available |
| Full Name | North Valley |
|---|---|
| Speciality | Clinic/Center |
| Location | 280 Vista Knoll Pkwy Ste 107, Reno, Nevada |
| Authorized Official Name and Position | Jennifer Wheeler (CCO) |
| Authorized Official Contact | 7753296300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| North Valley 680 S Rock Blvd Reno NV 89502-4113 Ph: (775) 329-6300 | North Valley 280 Vista Knoll Pkwy Ste 107 Reno NV 89506-5649 Ph: (775) 329-6300 |
| NPI Number | 1518519768 |
|---|---|
| Provider Enumeration Date | 07/09/2019 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Medicare PECOS PAC ID | 3577540160 |
|---|---|
| Medicare Enrollment ID | O20191120000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518519768 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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