OrganizationActive
Northern Sierra Dialysis Center, LLC.
NPI 1770686255 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Reno, NV
Provider details
- NPI number
- 1770686255
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Scott Van Wagner, Executive Director(775) 982-4027
- License
- 3410ESR-4 (NV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
10085 Double R Blvd
Ste 160
Reno, NV 89511
Phone: (775) 982-4027
Fax: (775) 982-8104
Approximate (ZIP-level) locationGet directions
Mailing address
1500 E 2nd St Ste 101
Reno, NV 89502-1189
Other names (DBA / former)
- Doing business as
- Northern Sierra Dialysis Center at South Meadows
Registry dates
- Enumerated
- 2006-09-07
- Last updated
- 2008-09-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.