Provider Demographics
NPI:1669426698
Name:SIERRA NEVADA MANAGEMENT SERVICES
Entity type:Organization
Organization Name:SIERRA NEVADA MANAGEMENT SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:DOLINAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-899-8853
Mailing Address - Street 1:35 JAN COURT, SUITE 150
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-4418
Mailing Address - Country:US
Mailing Address - Phone:530-899-8853
Mailing Address - Fax:530-899-8854
Practice Address - Street 1:35 JAN COURT, SUITE 150
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-4418
Practice Address - Country:US
Practice Address - Phone:530-899-8853
Practice Address - Fax:530-899-8854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2013-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1200XAmbulatory Health Care FacilitiesClinic/CenterSleep Disorder Diagnostic
Provider Identifiers
StateIdentifier IDID TypeIssuer
CACQ867AMedicare PIN
CAZZZ23227ZMedicare PIN
CACQ867BMedicare PIN
CAZZZ24140ZMedicare PIN