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SAINT MARY'S OUTPATIENT SURGERY CENTER AT GALENA NPI 1770660706


NPI Information

NPI: 1770660706
Provider Name: SAINT MARY'S OUTPATIENT SURGERY CENTER AT GALENA
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 29D0934905

Address:
18653 WEDGE PKWY
RENO, NV
ZIP 89511
Phone: (775) 770-7218
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SAINT MARY'S OUTPATIENT SURGERY CENTER AT GALENA is an ambulatory surgical clinic center in Reno, NV. SAINT MARY'S OUTPATIENT SURGERY CENTER AT GALENA NPI is 1770660706. The provider is registered as an organization entity type.

The provider's business location address is:

18653 WEDGE PKWY
RENO, NV
ZIP 89511-005
Phone: (775) 770-7218
Fax: (775) 770-7228

The provider's authorized official is Joseph E Jasmon .
The authorized official title is Executive Vp - Coo and has the following contact phone number (775) 770-6085.

The CLIA number assigned to this NPI record is 29D0934905 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/1/2006 and was last updated on 2/4/2010.


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
1261QA1903XClinic/CenterAmbulatory SurgicalB0506616NEVADAYes

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
1100500037MEDICAIDNEVADA
2V37090MEDICARE PIN
3490005759MEDICARE PIN

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.