Provider Demographics
NPI:1902247265
Name:UNIVERSITY OF NEVADA, RENO
Entity Type:Organization
Organization Name:UNIVERSITY OF NEVADA, RENO
Other - Org Name:VA SIERRA NEVADA HEALTH SYSTEM
Other - Org Type:Other Name
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:NEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHUMAKER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-785-7103
Mailing Address - Street 1:9455 SKY VISTA PKWY APT 26H
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-2051
Mailing Address - Country:US
Mailing Address - Phone:562-274-3590
Mailing Address - Fax:
Practice Address - Street 1:9455 SKY VISTA PKWY APT 26H
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-2051
Practice Address - Country:US
Practice Address - Phone:562-274-3590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-15
Last Update Date:2013-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital