Provider Demographics
NPI:1235547993
Name:NEVADA URBAN INDIANS, INC.
Entity Type:Organization
Organization Name:NEVADA URBAN INDIANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:REEVES
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LSW
Authorized Official - Phone:775-788-7600
Mailing Address - Street 1:6512 S. MCCARRAN BLVD.
Mailing Address - Street 2:SUITE A, B, C
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509
Mailing Address - Country:US
Mailing Address - Phone:775-788-7600
Mailing Address - Fax:775-788-7611
Practice Address - Street 1:6512 S. MCCARRAN BLVD.
Practice Address - Street 2:SUITE A, B, C
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509
Practice Address - Country:US
Practice Address - Phone:775-788-7600
Practice Address - Fax:775-788-7611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health