NORTHERN SIERRA DIALYSIS CENTER AT SOUTH MEADOWS – NPI #1770686255
Clinic/Center

NORTHERN SIERRA DIALYSIS CENTER AT SOUTH MEADOWS is an AHC clinic located in RENO, NV. NPPES has assigned the NPI number 1770686255 to NORTHERN SIERRA DIALYSIS CENTER AT SOUTH MEADOWS on September 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NORTHERN SIERRA DIALYSIS CENTER AT SOUTH MEADOWS” is a dba name, the actual legal business name for this organization is NORTHERN SIERRA DIALYSIS CENTER, LLC.. The primary taxonomy selected by this provider is 261QE0700X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in End-Stage Renal Disease (ESRD) Treatment

The NPI profile was previously updated about 18 years ago on Sep 30, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NORTHERN SIERRA DIALYSIS CENTER AT SOUTH MEADOWS below.

NPI Profile for
NORTHERN SIERRA DIALYSIS CENTER, LLC.

NPI Number
1770686255
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
NORTHERN SIERRA DIALYSIS CENTER, LLC.
Doing Business As (dba): NORTHERN SIERRA DIALYSIS CENTER AT SOUTH MEADOWS
Primary location
10085 DOUBLE R BLVD
STE 160
RENO, NV 89511
Phone: (775) 982-4027 Fax: (775) 982-8104
Mailing address
1500 E 2ND ST STE 101
RENO, NV 89502-1189
Phone: (775) 982-4027 Fax: (775) 982-8104
Organization Subpart
No
Authorized Official
SCOTT VAN WAGNER
EXECUTIVE DIRECTOR
Phone: (775) 982-4027
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0700X
- Clinic/Center / End-Stage Renal Disease (ESRD) Treatment (Primary)		 NV 3410ESR-4

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.