Provider Demographics
NPI:1922535723
Name:VA SNHCS
Entity Type:Organization
Organization Name:VA SNHCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:JACOB
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:775-788-2312
Mailing Address - Street 1:1201 CORPORATE BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-7177
Mailing Address - Country:US
Mailing Address - Phone:775-788-6888
Mailing Address - Fax:775-326-2674
Practice Address - Street 1:1201 CORPORATE BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-7177
Practice Address - Country:US
Practice Address - Phone:775-788-6888
Practice Address - Fax:775-326-2674
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DEPARTMENT OF VETERAN AFFAIRS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVAPRN002557261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care