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NPI Code Detail

MEDICARE: COMMUNITY HEALTH ALLIANCE

MEDICARE: COMMUNITY HEALTH ALLIANCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)NV19921028701NV

General Provider Information

NPI Number : 1548644594
Entity Type Code : Organization
Provider Name (Legal Business Name) : COMMUNITY HEALTH ALLIANCE
Provider Business Mailing Address
First Line : 680 S ROCK BLVD
Second Line :
City : RENO
State : NV
Zip : 89502-4113
Country : US
Telephone Number : 775-329-6300
Fax Number : 775-348-3896
Provider Business Practice Location Address
First Line : 330 CRAMPTON ST
Second Line :
City : RENO
State : NV
Zip : 89502-2480
Country : US
Telephone Number : 775-336-3700
Fax Number : 775-336-3701
Authorized Official
Title or Position : CCO
Name : JENNIFER WHEELER
Credential :
Telephone Number : 775-329-6300
Provider Enumeration Date : 07/18/2015
Last Update Date : 01/25/2024

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Directions to “COMMUNITY HEALTH ALLIANCE ” Practice Location

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