SAINT MARY'S MULTI-SPECIALTY CLINIC, INC. (NPI# 1710948070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710948070 |
| Entity Type | Organization |
| Organization Name | SAINT MARY'S MULTI-SPECIALTY CLINIC, INC. |
| Other Organization Name | SAINT MARY'S MEDICAL GROUP |
| Practice Address |
1510 Meadow Wood Ln Reno NV 89502-8503 |
| Mailing Address |
645 N Arlington Ave Ste 555 Reno NV 89503-4452 |
| Practice Telephone | 7757707210 |
| Practice Fax Number | 7757707211 |
| Mailing Telephone | 7757707661 |
| Mailing Fax Number | 7757707368 |
| Enumeration Date | 2006-03-28 |
| Last Update Date | 2012-02-03 |
| Authorized Official Name | DAVE CHALLIS (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7757706679 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT MARY'S MULTI-SPECIALTY CLINIC, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100507825 | 05 | |
| DEPT OF LABOR - WORK COMP | 61372200 | 01 |
| Other Name | Type Code |
|---|---|
| Saint Mary's Medical Group | 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 |
| 1003120650 | Saint Mary's Multi-specialty Clinic, Inc. | Clinic/Center | 5065 Pyramid Way, Sparks, NV 89436-7703 | 2010-08-05 |
| Street Address |
1510 MEADOW WOOD LN |
| City | RENO |
| State | NV |
| Zip Code | 89502-8503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013919083 | Louis Christopher Tripoli | Internal Medicine | 1510 Meadow Wood Ln, Prominence Health, Reno, NV 89502-8503 | 2005-08-10 |
| 1508038860 | Dignity Health | Clinic/Center | 1510 Meadow Wood Ln, Reno, NV 89502-8503 | 2008-03-27 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1417433483 | Christopher C. Highley D.o., PC | Clinic/Center | 10627 Professional Cir Ste A, Reno, NV 89521-5834 | 2018-07-12 |
| 1922534965 | Activate Healthcare - Eldorado (ruby) | Clinic/Center | 190 W 6th St, Reno, NV 89503-4502 | 2017-05-11 |
| 1720511678 | Activate Healthcare - Eldorado Resorts | Clinic/Center | 190 West 6th Street, Reno, NV 89503-4502 | 2017-04-07 |
| 1134532773 | Prestige Primary Providers | Clinic/Center | 2305 Ridge Field Trl, Reno, NV 89523-6804 | 2014-06-10 |
| 1497377105 | Forest View Medical Clinic LLC | Clinic/Center | 6880 S Mccarran Blvd Ste 5, Reno, NV 89509-6129 | 2020-05-15 |
| 1265932487 | Reno Center for Child and Adolescent Health | Clinic/Center | 3596 Baker Ln, Reno, NV 89509-5458 | 2018-02-14 |
| 1922535723 | Va Snhcs | Clinic/Center | 1201 Corporate Blvd, Reno, NV 89502-7177 | 2017-05-11 |
| 1063955268 | Accesscare Telehealth Inc | Clinic/Center | 200 S Virginia St, Ste 800, Reno, NV 89501-2405 | 2016-11-21 |
| 1619362324 | Walk-in Medical Clinic LLC | Clinic/Center | 495 Apple St, Ste 104, Reno, NV 89502-3553 | 2015-03-31 |
| 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.