Provider Demographics
NPI:1023402005
Name:PAMELA S HILL
Entity Type:Organization
Organization Name:PAMELA S HILL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/.SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:775-677-4417
Mailing Address - Street 1:11620 DEODAR WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-9498
Mailing Address - Country:US
Mailing Address - Phone:775-677-4417
Mailing Address - Fax:775-677-4417
Practice Address - Street 1:260 WONDER ST
Practice Address - Street 2:#203
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-2474
Practice Address - Country:US
Practice Address - Phone:775-677-4417
Practice Address - Fax:775-677-4417
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV00129-L251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1184854424OtherWEST HILLS HOSPITAL PRIMARY EMPLOYER