Organization Active NPI

St. Mary'S Outpatient Surgery Center at Galena LLC

  • Ambulatory Surgical Clinic/Center
  • Reno, NV
National Provider Identifier
1295973006
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
ST. MARY'S OUTPATIENT SURGERY CENTER AT GALENA LLC
Practice address
18653 Wedge Pkwy Ste 170
Reno, NV 89511-3037
Phone
(775) 674-5200
Fax
(775) 674-5228
NPI assigned
Feb 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Lars Webb, MD
Title
Medical Director
Phone
(775) 674-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NV Primary

Addresses

Primary practice location

18653 Wedge Pkwy Ste 170
Reno, NV 89511-3037

Mailing address

18653 Wedge Pkwy Ste 170
Reno, NV 89511-3037
Phone (775) 674-5200

Other names 2

  • Galena Surgical Center Doing business as
  • Summit Surgery Center at St. Marys Galena Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091223000514 NV Part B Supplier - Ambulatory Surgical Center 7911047923 Practice locations: Reno, NV

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Summit Surgery Centere St Marys GalenaCCN 29C0001051
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1004029Galena Surgical Center18653 Wedge Pkwy Ste 170, Reno, NV 89511Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Member of 3

Organizations this organization is a member of, according to the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1295973006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18653 WEDGE PKWY STE 170",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113037",
            "telephone_number": "775-674-5200",
            "fax_number": "775-657-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18653 WEDGE PKWY STE 170",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113037",
            "telephone_number": "775-674-5200",
            "fax_number": "775-674-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S OUTPATIENT SURGERY CENTER AT GALENA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "WEBB",
        "authorized_official_first_name": "LARS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "775-674-5200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Galena Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Summit Surgery Center at St. Marys Galena",
            "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 Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.