Provider Demographics
NPI:1982022075
Name:VA SIERRA NEVADA HEALTH CARE SYSTEM
Entity Type:Organization
Organization Name:VA SIERRA NEVADA HEALTH CARE SYSTEM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GRADUATE DIETITIAN
Authorized Official - Prefix:MISS
Authorized Official - First Name:THEA
Authorized Official - Middle Name:GRANDI
Authorized Official - Last Name:OMUNDSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-786-7200
Mailing Address - Street 1:975 KIRMAN AVE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-0993
Mailing Address - Country:US
Mailing Address - Phone:775-786-7200
Mailing Address - Fax:
Practice Address - Street 1:975 KIRMAN AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-0993
Practice Address - Country:US
Practice Address - Phone:775-786-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes286500000XHospitalsMilitary Hospital