Provider Demographics
NPI:1104816594
Name:WASHOE COUNTY HEALTH DISTRICT
Entity type:Organization
Organization Name:WASHOE COUNTY HEALTH DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIVISION DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LOTTRITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-328-6159
Mailing Address - Street 1:1001 E 9TH ST
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89512-2845
Mailing Address - Country:US
Mailing Address - Phone:775-328-2410
Mailing Address - Fax:775-785-4186
Practice Address - Street 1:1001 E 9TH ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-2845
Practice Address - Country:US
Practice Address - Phone:775-328-2410
Practice Address - Fax:775-328-3752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP0905XAmbulatory Health Care FacilitiesClinic/CenterPublic Health, State or Local
No261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV001716002Medicaid
NV001716906Medicaid
NV003116913Medicaid
V100199Medicare PIN
NVV100199Medicare PIN