NPIMap

Organization Active NPI

Saint Marys Urgent Care LLC

Doing business as Saint Mary's Urgent Care

  • Multi-Specialty Clinic/Center
  • Reno, NV
National Provider Identifier
1275898975
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
SAINT MARYS URGENT CARE LLC
Doing business as
Saint Mary's Urgent Care
Practice address
18653 Wedge Pkwy
Suite 300
Reno, NV 89511-3323
Phone
(775) 770-7664
NPI assigned
Jul 9, 2012
Last updated
Dec 9, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Radha A Savitala
Title
Deputy General Counsel
Phone
(909) 235-4308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

18653 Wedge Pkwy
Suite 300
Reno, NV 89511-3323

Mailing address

411 W 6TH St
Reno, NV 89503-4415
Phone (775) 770-7348

Other names 1

  • Saint Mary's Urgent Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20131113000128 NV Part B Supplier - Clinic/Group Practice 2163658550 Receives reassigned benefits from 14 practitioners
Practice locations: Reno, NV; Sparks, NV

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 122

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 122

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1275898975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034415",
            "telephone_number": "775-770-7348",
            "fax_number": "775-770-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18653 WEDGE PKWY",
            "address_2": "SUITE 300",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113323",
            "telephone_number": "775-770-7664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARYS URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "SAVITALA",
        "authorized_official_first_name": "RADHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DEPUTY GENERAL COUNSEL",
        "authorized_official_telephone_number": "909-235-4308"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Mary's Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.