Provider Demographics
NPI:1619111218
Name:SIERRA RECOVERY SOLUTIONS
Entity Type:Organization
Organization Name:SIERRA RECOVERY SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MELANIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:COMPAGNO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-306-2046
Mailing Address - Street 1:5120 CAMERON RD
Mailing Address - Street 2:
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-9628
Mailing Address - Country:US
Mailing Address - Phone:530-677-8162
Mailing Address - Fax:530-463-7777
Practice Address - Street 1:3091 ALHAMBRA DR STE E
Practice Address - Street 2:
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-7635
Practice Address - Country:US
Practice Address - Phone:530-677-8162
Practice Address - Fax:530-463-7777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA48459332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies