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GRACCTIC LLC NPI 1730109935


NPI Information

NPI: 1730109935
Provider Name: GRACCTIC, LLC

Doing Business As: SUMMIT RIDGE MEDICAL CENTER

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
4791 SUMMIT RIDGE DRIVE
RENO, NV
ZIP 89523
Phone: (775) 624-2200
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GRACCTIC, LLC is an urgent care clinic center in Reno, NV. GRACCTIC, LLC NPI is 1730109935. The provider is registered as an organization entity type.
The provider Is Doing Business As Summit Ridge Medical Center.

The provider's business location address is:

4791 SUMMIT RIDGE DRIVE
RENO, NV
ZIP 89523
Phone: (775) 624-2200
Fax: (775) 624-2211

The provider's authorized official is Robert J Stefanko .
The authorized official title is Medical Director and has the following contact phone number (775) 337-2012.

The enumeration date for this NPI number is 7/20/2006 and was last updated on 8/22/2020.


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
1261QU0200XClinic/CenterUrgent CareYes

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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