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SPECIALTY HEALTH CLINIC NPI 1225235187


NPI Information

NPI: 1225235187
Provider Name: SPECIALTY HEALTH CLINIC

Doing Business As: SPECIALTY HEALTH CLINIC, INC.

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 29D0972722

Address:
330 E LIBERTY STREET
SUITE 100
RENO, NV
ZIP 89501
Phone: (775) 398-3603
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SPECIALTY HEALTH CLINIC is a specialist in Reno, NV. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SPECIALTY HEALTH CLINIC NPI is 1225235187. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Specialty Health Clinic, Inc..

The provider's business location address is:

330 E LIBERTY STREET
SUITE 100
RENO, NV
ZIP 89501
Phone: (775) 398-3603
Fax: (775) 329-9921

The provider's authorized official is Cindy Weller .
The authorized official title is Cfo/director and has the following contact phone number (775) 398-3603.

The CLIA number assigned to this NPI record is 29D0972722 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/2/2007 and was last updated on 9/13/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist97547NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1S89858MEDICARE UPIN
2VWJBJNMEDICARE PIN
3143315MEDICARE UPIN
4P88207MEDICARE UPIN
5E84988MEDICARE UPINNEVADA
6171411MEDICARE UPINNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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