COMMUNITY HEALTH ALLIANCE (NPI# 1073717757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073717757 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH ALLIANCE |
| Other Organization Name | DENTAL - WELLS |
| Practice Address |
1055 S Wells Ave Reno NV 89502-2550 |
| Mailing Address |
680 S Rock Blvd Reno NV 89502-4113 |
| Practice Telephone | 7758296300 |
| Practice Fax Number | 7753483896 |
| Mailing Telephone | 7753363003 |
| Mailing Fax Number | 7753360653 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2016-01-07 |
| Authorized Official Name | DIAHANN BARRERA (CFO) |
| Authorized Official Telephone | 7753363018 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Dental - Wells | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952897548 | Community Health Alliance | Clinic/Center | 5295 Sun Valley Blvd Ste 8, Sun Valley, NV 89433 | 2018-07-06 |
| 1447701321 | Community Health Alliance | Non-Pharmacy Dispensing Site | 335 Record St Ste 254, Reno, NV 89512-3327 | 2016-10-17 |
| 1396113122 | Community Health Alliance | Community/Behavioral Health | 323 E Third Ave, Sutherlin, OR 97479-9528 | 2015-09-10 |
| 1407463540 | Community Health Alliance | Clinic/Center | 680 S Rock Blvd, Reno, NV 89502-4113 | 2020-09-23 |
| 1518519768 | Community Health Alliance | Clinic/Center | 280 Vista Knoll Pkwy Ste 107, Reno, NV 89506-5649 | 2019-07-09 |
| 1700372851 | Community Health Alliance | Clinic/Center | 680 S Rock Blvd, Reno, NV 89502-4113 | 2018-07-02 |
| 1851897664 | Community Health Alliance | Pharmacy | 2244 Oddie Blvd, Sparks, NV 89431-7574 | 2018-04-02 |
| 1134646011 | Community Health Alliance | Clinic/Center | 680 S Rock Blvd, Reno, NV 89502-4113 | 2017-08-23 |
| 1114451713 | Community Health Alliance | Clinic/Center | 335 Record St Ste 254, Reno, NV 89512-3327 | 2017-04-20 |
| 1720523244 | Community Health Alliance | Clinic/Center | 2244 Oddie Blvd, Sparks, NV 89431-7574 | 2016-12-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH ALLIANCE | 621 W Madrone St, Roseburg, OR 97470-3090 |
| Oregon Corporations, Companies and Business Names | COMMUNITY HEALTH ALLIANCE | 621 W Madrone, Roseburg, OR 97470 |
| Vermont Business Registrations | COMMUNITY HEALTH ALLIANCE | 208 Flynn Avenue, Suite 3j, Burlington, VT 05401 |
| Virginia Business Entities | Community Health Alliance | 4900 Cox Road, Suite 245, Glen Allen, Virginia 23060 |
| Vermont Business Registrations | COMMUNITY HEALTH ALLIANCE ATTORNEY-IN-FACT, INC. | 100 Bank Street, Burlington, VT 05401 |
| Vermont Business Registrations | COMMUNITY HEALTH ALLIANCE RECIPROCAL RISK RETENTION GROUP | 100 Bank St, Ste 610, Burlington, VT 05401 |
| Street Address |
1055 S WELLS AVE |
| City | RENO |
| State | NV |
| Zip Code | 89502-2550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346233392 | Steven A Shane | Pediatrics | 1055 S Wells Ave, Reno, NV 89502-2550 | 2005-08-24 |
| 1285233486 | Melanie Hacklander | Nurse Practitioner | 1055 S Wells Ave, Reno, NV 89502-2550 | 2020-10-20 |
| 1770117756 | Elizabeth Patricia Lewis | Registered Nurse | 1055 S Wells Ave, Reno, NV 89502-2550 | 2020-02-27 |
| 1407492853 | Lucia Amanda Sanchez | Physician Assistant | 1055 S Wells Ave, Reno, NV 89502-2550 | 2019-11-20 |
| 1760030712 | Luis Fernando Rodriguez | Physician Assistant | 1055 S Wells Ave, Reno, NV 89502-2550 | 2019-09-03 |
| 1841844511 | Aaron V Blackham | Social Worker | 1055 S Wells Ave, Reno, NV 89502-2550 | 2019-07-30 |
| 1023661048 | Jordan Diane Forman | Nurse Practitioner | 1055 S Wells Ave, Reno, NV 89502-2550 | 2019-07-18 |
| 1174182166 | Cecilia Bowers | Physician Assistant | 1055 S Wells Ave, Reno, NV 89502-2550 | 2019-06-12 |
| 1649752106 | Kristyn Mcdougall | Nurse Practitioner | 1055 S Wells Ave, Reno, NV 89502-2550 | 2018-08-31 |
| 1326532714 | Caitlin Alexandra White | Family Medicine | 1055 S Wells Ave, Reno, NV 89502-2550 | 2018-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750901625 | Hope Springs | Clinic/Center | 1920 E 4th St, Reno, NV 89512-3705 | 2020-04-21 |
| 1407463540 | Community Health Alliance | Clinic/Center | 680 S Rock Blvd, Reno, NV 89502-4113 | 2020-09-23 |
| 1518519768 | Community Health Alliance | Clinic/Center | 280 Vista Knoll Pkwy Ste 107, Reno, NV 89506-5649 | 2019-07-09 |
| 1700372851 | Community Health Alliance | Clinic/Center | 680 S Rock Blvd, Reno, NV 89502-4113 | 2018-07-02 |
| 1114451713 | Community Health Alliance | Clinic/Center | 335 Record St Ste 254, Reno, NV 89512-3327 | 2017-04-20 |
| 1548644594 | Community Health Alliance | Clinic/Center | 330 Crampton St, Reno, NV 89502-2480 | 2015-07-18 |
| 1205234739 | Community Health Alliance | Clinic/Center | 1055 S Wells Ave, Reno, NV 89502-2550 | 2014-12-16 |
| 1326446386 | Community Health Alliance | Clinic/Center | 1950 Villanova Dr, Reno, NV 89502-3142 | 2014-12-08 |
| 1376954875 | Hawc Inc Dba Community Health Alliance | Clinic/Center | 1055 S Wells Ave, Reno, NV 89502-2550 | 2014-05-19 |
| 1659792810 | Northern Nevada Hiv Outpatient Program, Education and Services | Clinic/Center | 580 W 5th St, Reno, NV 89503-4407 | 2013-12-13 |
| Find all providers in RENO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.