SOUTH LYON HEALTH CENTER, INC. (NPI# 1992765085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992765085 |
| Entity Type | Organization |
| Organization Name | SOUTH LYON HEALTH CENTER, INC. |
| Other Organization Name | SOUTH LYON MEDICAL CENTER |
| Practice Address |
213 S. Whitacre Yerington NV 89447-2561 |
| Mailing Address |
P.o. Box 940 Yerington NV 89447-0940 |
| Practice Telephone | 7754632301 |
| Mailing Telephone | 7754632301 |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2020-01-15 |
| Authorized Official Name | TONI INSERRA (CEO) |
| Authorized Official Telephone | 7754636404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208D00000X | General Practice | 3381RHC-4 | NV | Allopathic & Osteopathic Physicians |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 001510001 | 05 |
| Other Name | Type Code |
|---|---|
| South Lyon Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538129549 | South Lyon Health Center, Inc. | General Practice | 213 S. Whitacre, Yerington, NV 89447-2561 | 2006-03-24 |
| 1285008219 | South Lyon Health Center, Inc. | Medicare Defined Swing Bed Unit | 213 S Whitacre St, Yerington, NV 89447-2561 | 2015-11-13 |
| 1376917302 | South Lyon Health Center, Inc. | General Acute Care Hospital | 213 S Whitacre St, Yerington, NV 89447-2561 | 2015-11-13 |
| 1740347715 | South Lyon Health Center, Inc. | General Acute Care Hospital | 213 S. Whitacre, Yerington, NV 89447-2561 | 2007-01-02 |
| 1366519712 | South Lyon Health Center, Inc. | Physical Therapist | 213 S. Whitacre, Yerington, NV 89447-2561 | 2006-11-29 |
| 1407923857 | South Lyon Health Center, Inc. | Family Medicine | 213 S. Whitacre, Yerington, NV 89447-2561 | 2006-11-29 |
| 1932160363 | South Lyon Health Center, Inc. | General Acute Care Hospital | 213 S. Whitacre, Yerington, NV 89447-2561 | 2006-03-28 |
| 1841251279 | South Lyon Health Center, Inc. | General Acute Care Hospital | 213 S. Whitacre, Yerington, NV 89447-2561 | 2006-03-28 |
| 1649230665 | South Lyon Health Center, Inc. | General Practice | 213 S. Whitacre, Yerington, NV 89447-2561 | 2006-03-24 |
| 1407815194 | South Lyon Health Center, Inc. | Physical Therapist | 213 S Whitacre St, Yerington, NV 89447-2561 | 2006-03-21 |
| Street Address |
213 S. WHITACRE |
| City | YERINGTON |
| State | NV |
| Zip Code | 89447-2561 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538129549 | South Lyon Health Center, Inc. | General Practice | 213 S. Whitacre, Yerington, NV 89447-2561 | 2006-03-24 |
| 1740347715 | South Lyon Health Center, Inc. | General Acute Care Hospital | 213 S. Whitacre, Yerington, NV 89447-2561 | 2007-01-02 |
| 1366519712 | South Lyon Health Center, Inc. | Physical Therapist | 213 S. Whitacre, Yerington, NV 89447-2561 | 2006-11-29 |
| 1407923857 | South Lyon Health Center, Inc. | Family Medicine | 213 S. Whitacre, Yerington, NV 89447-2561 | 2006-11-29 |
| 1932160363 | South Lyon Health Center, Inc. | General Acute Care Hospital | 213 S. Whitacre, Yerington, NV 89447-2561 | 2006-03-28 |
| 1841251279 | South Lyon Health Center, Inc. | General Acute Care Hospital | 213 S. Whitacre, Yerington, NV 89447-2561 | 2006-03-28 |
| 1649230665 | South Lyon Health Center, Inc. | General Practice | 213 S. Whitacre, Yerington, NV 89447-2561 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124492657 | Kristina F Homan | Counselor | 720 Main St., Suite C, Yerington, NV 89447 | 2015-11-20 |
| 1871895672 | Josef Carrol Masini | Rehabilitation Practitioner | 230 State Route 208, Yerington, NV 89447 | 2010-11-30 |
| 1508185539 | Rural Nevada Counseling Rnc | Counselor | 720 S. Main St., Suite C, Yerington, NV 89447 | 2010-06-01 |
| 1164661484 | Richard Klain | Counselor | 405 Kathy Avenue, Yerington, NV 89447 | 2009-02-10 |
| 1033288329 | Bruce Gregory Vogel | General Practice | 171 Campbell Lane, Yerington, NV 89447 | 2006-11-08 |
| 1992155519 | Jill Marie Seely | Counselor | 720 S. Main St., Suite C, Yerington, NV 89447 | 2016-06-14 |
| 1174917173 | Charles Daniel Graham | Internal Medicine | 213 S Whitacre St, Yerington, NV 89447 | 2015-03-27 |
| 1669720264 | Kathryn Marie Fawcett | Registered Nurse | 1025 Hospital Road, Schurz, NV 89447 | 2012-08-29 |
| 1902190333 | Rachele Reber Bobrick | Physical Therapist | 513 W Bridge St, Ste E, Yerington, NV 89447 | 2011-06-02 |
| 1659447688 | Healthy Smiles Family Dentistry Inc | Dentist | 120 Bovard St, Yerington, NV 89447 | 2006-11-28 |
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| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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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.