NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES


Address: 580 W 5th St, Suite 12a, Reno, NV 89503-4407
Phone: 7753481306

NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES (NPI# 1033206339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033206339
Entity Type Organization
Organization Name NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES
Other Organization Name NORTHERN NEVADA HOPES
Practice Address 580 W 5th St
Suite 12a
Reno
NV 89503-4407
Practice Telephone 7753481306
Enumeration Date 2006-10-06
Last Update Date 2020-04-30
Authorized Official Name SHARON CHAMBERLAIN (CEO)
Authorized Official Telephone 7757864673
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
PH01763 NV Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NV 100500016 05
NV NCPDP NUMBER 2906848 01

Other Provider/Organization Names

Other Name Type Code
Northern Nevada HOPES Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1659792810 Northern Nevada Hiv Outpatient Program, Education and Services Clinic/Center 580 W 5th St, Reno, NV 89503-4407 2013-12-13

Office Location

Street Address 580 W 5TH ST
SUITE 12A
City RENO
State NV
Zip Code 89503-4407

Providers in the same location

NPI Name Taxonomy Address Enumeration
1992709976 Northern Nevada Hiv Outpatient Program, Education & Services Specialist 580 W 5th St, Reno, NV 89503-4407 2005-06-08
1134755283 Kylie Grace Soares Nurse Practitioner 580 W 5th St, Reno, NV 89503-4407 2020-03-20
1184257628 Jessica Ann Bowden Nurse Practitioner 580 W 5th St, Reno, NV 89503-4407 2020-02-12
1992336499 Jerika Dunn Nurse Practitioner 580 W 5th St, Reno, NV 89503-4407 2020-02-03
1710440136 Sadie Davenport Physician Assistant 580 W 5th St, Reno, NV 89503-4407 2019-04-11
1497221808 Jessica Sheila Blauenstein Dietitian, Registered 580 W 5th St, Reno, NV 89503-4407 2018-10-23
1427532506 Amanda N La Torre Health Educator 580 W 5th St, Reno, NV 89503-4407 2018-09-24
1831633411 Nanette Mccall Dietitian, Registered 580 W 5th St, Reno, NV 89503-4407 2016-12-15
1477004331 Northern Nevada Hiv Outpatient Program, Education & Services Clinic/Center 580 W 5th St, Reno, NV 89503-4407 2016-10-17
1427504661 Shile Brook Eguen Registered Nurse 580 W 5th St, Reno, NV 89503-4407 2016-08-28
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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
Notes: [7/1/2003: new]

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Competitor

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City RENO
Zip Code 89503

Improve Information

Please comment or provide details below to improve the information on NORTHERN NEVADA HIV OUTPATIENT PROGRAM, EDUCATION AND SERVICES.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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