Organization Name: | COMMUNITY HEALTH ALLIANCE |
NPI Number: | 1013143312 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DIAHANN BARRERA (CFO) |
Mailing Address: | 3915 Neil Rd Reno |
State: | NV US |
Postal Code: | 895026808 |
Phone Number: | 7758704333 |
Fax Number: | 7758704633 |
NPI Enumeration Date: | 06/02/2009 |
NPI Last Update Date: | 01/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |