DIGNITY HEALTH NPI 1225369473

NPI Information

NPI: 1225369473
Provider Name: DIGNITY HEALTH

Doing Business As: SAINT MARY'S OUTREACH CLINICS

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 29D2001379

Address:
801 E WILLIAMS AVE
SUITE 1101
FALLON, NV
ZIP 89406
Phone: (775) 327-8196
Get Directions

DIGNITY HEALTH is a multi-specialty clinic center in Fallon, NV. DIGNITY HEALTH NPI is 1225369473. The provider is registered as an organization entity type.
The provider Is Doing Business As Saint Mary's Outreach Clinics.

The provider's business location address is:

801 E WILLIAMS AVE
SUITE 1101
FALLON, NV
ZIP 89406-052
Phone: (775) 327-8196

The provider's authorized official is John Deakyne .
The authorized official title is Chief Financial Officer and has the following contact phone number (775) 770-6239.

The CLIA number assigned to this NPI record is 29D2001379 - other - op ctr of laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2010 and was last updated on 3/27/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	658HOS-20	NEVADA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	880059665	OTHER		IRS - SP TIN
2	001116875	MEDICAID	NEVADA
3	290009	MEDICARE OSCAR/CERTIFICATION

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

NPI Synchronization or Removal

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