Organization
SAINT MARY'S MULTI-SPECIALTY CLINIC, INC.
Active
Parent organization
SAINT MARY'S MULTI-SPECIALTY CLINIC, INC.
Other names
Saint Mary's Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SAINT MARY'S MULTI-SPECIALTY CLINIC, INC.
Authorized official
DAVE CHALLIS (CHIEF FINANCIAL OFFICER)
(775) 770-6679
Entity
Organization
Contact information
Practice address
1510 MEADOW WOOD LN, RENO, NV 89502-8503
(775) 770-7210
(775) 770-7211
Mailing address
645 N ARLINGTON AVE STE 555, RENO, NV 89503-4452
(775) 770-7661
(775) 770-7368
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100507825
—
NV
01
—
61372200
DEPT OF LABOR - WORK COMP
—
Enumeration date
03/28/2006
Last updated
02/03/2012
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