Saint Mary's Multi-Specialty Clinic, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SAINT MARY'S MULTI-SPECIALTY CLINIC, INC.

Doing business as

Saint Mary's Medical Group

Practice address

1510 Meadow Wood LN
Reno, NV 89502-8503

Phone

(775) 770-7210

Fax

(775) 770-7211

NPI assigned

Mar 28, 2006

Last updated

Feb 3, 2012By the provider in NPPES

Organization subpart

Yes

Parent organization

SAINT MARY'S MULTI-SPECIALTY CLINIC, INC.As reported in NPPES

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

Authorized official

Name

Dave Challis

Title

Chief Financial Officer

Phone

(775) 770-6679

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Saint Mary's Medical Group Doing business as

Part of

Saint Marys Multi-Specialty

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328227200000",
    "number": "1710948070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N ARLINGTON AVE STE 555",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034452",
            "telephone_number": "775-770-7661",
            "fax_number": "775-770-7368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 MEADOW WOOD LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895028503",
            "telephone_number": "775-770-7210",
            "fax_number": "775-770-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY'S MULTI-SPECIALTY CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SAINT MARY'S MULTI-SPECIALTY CLINIC, INC.",
        "enumeration_date": "2006-03-28",
        "last_updated": "2012-02-03",
        "status": "A",
        "authorized_official_last_name": "CHALLIS",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "775-770-6679"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR - WORK COMP",
            "identifier": "61372200",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507825",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Mary's Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer A Sahm, M.D.
• Sheran Sahota, OD
• Saint Anne's Group Home
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• Saint Mary's Medical Group Inc (Saint Mary's Outpatient Pharmacy)
• Saint Mary's Multi-Specialty Clinic, Inc. (Saint Mary's Urgent Care)
• Saint Mary's Outpatient Surgery Center at Galena
• Saint Marys Healthfirst (Maternal-Fetal Medicine Associates)
• Saint Marys Medical Group Inc. (Saint Mary's Medical Group)
• Saint Marys Urgent Care LLC (Saint Mary's Urgent Care)

• Primary Care Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Primary Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.