Community Health Alliance
Clinic/Center, Federally Qualified Health Center (FQHC) in Reno, NV. Organization (NPI-2).
NPI number1407463540
StatusActive
Last updated in NPPESJan 25, 2024
Details
- NPI
- 1407463540
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Health Alliance
- Organization subpart
- Yes
- Enumeration date
- Sep 23, 2020
- Certification date
- Jan 25, 2024
- Last updated
- Jan 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Medical Mobile Van (Other Name)
Practice location
680 S Rock BlvdReno, NV 89502-4113
Phone 775-329-6300
Mailing address
680 S Rock BlvdReno, NV 89502-4113
Phone 775-329-6300
Authorized official
Jennifer Wheeler
Cco
7753296300
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