SAINT MARY'S MULTI-SPECIALTY CLINIC, INC. (NPI# 1003120650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003120650 |
| Entity Type | Organization |
| Organization Name | SAINT MARY'S MULTI-SPECIALTY CLINIC, INC. |
| Other Organization Name | SAINT MARY'S CLINIC AT WALMART |
| Practice Address |
5065 Pyramid Way Sparks NV 89436-7703 |
| Mailing Address |
645 N Arlington Ave Ste 555 Reno NV 89503-4452 |
| Practice Telephone | 7757707664 |
| Practice Fax Number | 7757707358 |
| Mailing Telephone | 7757707661 |
| Mailing Fax Number | 7757707368 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2012-02-03 |
| Authorized Official Name | HOWARD RATTIGAN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7757707044 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT MARY'S MULTI-SPECIALTY CLINIC, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Saint Mary's Clinic at Walmart | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912285131 | Saint Mary's Multi-specialty Clinic, Inc. | Clinic/Center | 18653 Wedge Pkwy, Suite 300, Reno, NV 89511-3323 | 2011-07-22 |
| 1710948070 | Saint Mary's Multi-specialty Clinic, Inc. | Clinic/Center | 1510 Meadow Wood Ln, Reno, NV 89502-8503 | 2006-03-28 |
| Street Address |
5065 PYRAMID WAY |
| City | SPARKS |
| State | NV |
| Zip Code | 89436-7703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821179862 | Wal-mart Stores, Inc | Technician/Technologist | 5065 Pyramid Way, Sparks, NV 89436-7703 | 2006-10-18 |
| 1861757577 | Saint Marys Medical Group Inc. | Clinic/Center | 5065 Pyramid Way, Sparks, NV 89436-7703 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049161 | Defined Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2430 Old Waverly Ct, Sparks, NV 89436 | 2020-03-26 |
| 1093208845 | D'artois T. Harper | Technician | 1963 E. Prater Way, Sparks, NV 89436 | 2018-06-07 |
| 1871014894 | Taylor Sexton | Behavior Technician | 4676 Chipwood Drive, Sparks, NV 89436 | 2017-06-29 |
| 1225408701 | Megan-vinh Quang Dinh | Dentist | 4760 Galleria Pkwy Ste 104, Sparks, NV 89436 | 2015-09-28 |
| 1396123410 | Capri Dubois | Community/Behavioral Health | 5200 South Los Altos Parkway, Unit 185, Sparks, NV 89436 | 2015-05-08 |
| 1750641627 | Randi Melvin Melvin | Behavioral Analyst | 3723 Arcturas Ct, Sparks, NV 89436 | 2012-05-24 |
| 1750661559 | Timothy D. Mckenna | Counselor | 480 Galletti Wy, 8b & 8c, Sparks, NV 89436 | 2011-08-24 |
| 1487895405 | Susan Mary Field | Nurse Practitioner | 5070 Ion Dr Ste 100, Sparks, NV 89436 | 2009-03-20 |
| 1912145046 | Joseph Charles Ravelli | Specialist/Technologist, Other | 6740 Bambey Dr, Sparks, NV 89436 | 2009-01-28 |
| 1609027663 | Raleys | Pharmacy | 2389 Wingfield Hills Road, Sparks, NV 89436 | 2008-10-08 |
| Find all providers in zip 89436 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386989465 | Pyramid Lake Tribal Health Clinic | Clinic/Center | 7337 Sansol Dr, Sparks, NV 89436-6252 | 2012-11-30 |
| 1861757577 | Saint Marys Medical Group Inc. | Clinic/Center | 5065 Pyramid Way, Sparks, NV 89436-7703 | 2012-07-09 |
| 1609006188 | State of Nevada | Clinic/Center | 480 Galletti Way, Sparks, NV 89431-5564 | 2009-07-20 |
| 1447492871 | Reid A Brecke Dc Prof Corp | Clinic/Center | 2215 Green Vista Dr Ste 304, Sparks, NV 89431-8508 | 2009-03-31 |
| 1043409816 | American Current Care Pa | Clinic/Center | 255 Glendale Avenue, Suite 12, Sparks, NV 89431 | 2007-10-17 |
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|---|---|---|---|---|
| 1588271654 | Helix Behavioral Services | Clinic/Center | 240 Booth St Apt L, Reno, NV 89509-1311 | 2020-09-23 |
| 1588287544 | Advanced Practice House Calls LLC | Clinic/Center | 4647 Maxwell Peak Ct, Las Vegas, NV 89139-7648 | 2020-05-26 |
| 1023665676 | Vitality Restored Chiropractic and Wellness Center | Clinic/Center | 1742 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89012-4833 | 2019-08-19 |
| 1891265997 | Elite Beg Limited Liability Co | Clinic/Center | 209 S Stephanie St # B177, Henderson, NV 89012-5501 | 2018-11-30 |
| 1659846699 | Jgbb LLC | Clinic/Center | 801 S Rancho Dr Ste D1-b, Las Vegas, NV 89106-3854 | 2018-10-05 |
| 1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
| 1750886784 | Aeva Clinic LLC | Clinic/Center | 4641 Blue Diamond Rd Ste 120a, Las Vegas, NV 89139-7610 | 2018-03-30 |
| 1275034621 | Faber IIi, Ltd. | Clinic/Center | 8811 W Sahara Ave Ste 200, Las Vegas, NV 89117-4813 | 2018-02-21 |
| 1033627120 | Aems | Clinic/Center | 197 Baker Street, Wells, NV 89835 | 2018-01-11 |
| 1710406467 | Anoush H. Tacvorian Do LLC | Clinic/Center | 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 | 2017-09-13 |
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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.