| NPI | 1770686255 |
|---|---|
| Doing Business As | NORTHERN SIERRA DIALYSIS CENTER AT SOUTH MEADOWS |
| Entity Type | Organization |
| Authorized Contact | SCOTT KEITH VAN WAGNER Executive Director 775-982-4027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: NV 3410ESR-4) |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2008-09-30 |