Saint Mary'S Outpatient Surgery Center at Galena

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

B0506616 Issued in NV

Legal business name

SAINT MARY'S OUTPATIENT SURGERY CENTER AT GALENA

Practice address

18653 Wedge Pkwy
Reno, NV 89511-3005

Phone

(775) 770-7218

Fax

(775) 770-7228

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Joseph E Jasmon

Title

Executive VP - Coo

Phone

(775) 770-6085

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1770660706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18653 WEDGE PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113005",
            "telephone_number": "775-770-7218",
            "fax_number": "775-770-7228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18653 WEDGE PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113005",
            "telephone_number": "775-770-7218",
            "fax_number": "775-770-7228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT MARY'S OUTPATIENT SURGERY CENTER AT GALENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "JASMON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE VP - COO",
        "authorized_official_telephone_number": "775-770-6085",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "B0506616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500037",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saint Anne'S Group Home
• Saint Mary'S Healthfirst
• Saint Mary'S Medical Group Inc
• Saint Mary'S Multi-Specialty Clinic, Inc.
• Saint Mary'S Multi-Specialty Clinic, Inc.
• Saint Marys Healthfirst
• Saint Marys Medical Group Inc.
• Saint Marys Urgent Care LLC
• Saint Paul Home Care II
• Bernice Sainz

• Ambulatory Surgical Clinic/Center in Reno, NV
• Providers in Reno, NV by specialty
• Ambulatory Surgical Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2010; 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.