Reliance Medical Clinics, PLLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

RELIANCE MEDICAL CLINICS, PLLC

Practice address

1445 Spaulding Ave
Spaulding Business Park
Richland, WA 99352

Phone

(509) 539-4273

Fax

(509) 627-2090

NPI assigned

Mar 6, 2007

Organization subpart

Yes

Parent organization

RELIANCE MEDICAL CLINICS, PLLCAs reported in NPPES

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

Authorized official

Name

Mr. Kishore SHM Varada, PA-CNPI 1477735272

Title

Chairman/Owner

Phone

(509) 539-4273

Specialties & licenses 8

Addresses

Other identifiers 1

Other names 1

• Salus Health & Neuropsych Program Doing business as

Medicare fee-for-service enrollment

Enrolled in WA

Enrollment records 1

Part of

Reliance Medical Clinics PLLC

Locations

Practitioners 6

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

• Kishore SHM Varada, PA-C

  • Medical Physician Assistant
  • Richland, WA
  • NPI 1477735272
  Medicare reassignment Care Compare group Authorized official
• Farrukh H Hashmi, MD

  • Psychiatry Physician
  • Richland, WA
  • NPI 1467497222
  Medicare reassignment Care Compare group
• Veda Lakshmi Anjali Varada, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Richland, WA
  • NPI 1043979420
  Medicare reassignment Care Compare group
• Patricia Hernandez, PA

  • Medical Physician Assistant
  • Richland, WA
  • NPI 1093802373
  Medicare reassignment
• Deborah Marilyn Rogers, ARNP

  • Family Nurse Practitioner
  • Pasco, WA
  • NPI 1831356765
  Medicare reassignment
• Lara Chimene Shemali, LMHC

  • Mental Health Counselor
  • Kennewick, WA
  • NPI 1740365444
  NPD

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466553600000",
    "number": "1982734273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 SPAULDING PARK",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-420-0423",
            "fax_number": "509-420-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 SPAULDING AVE",
            "address_2": "SPAULDING BUSINESS PARK",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "99352",
            "telephone_number": "509-539-4273",
            "fax_number": "509-627-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIANCE MEDICAL CLINICS, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RELIANCE MEDICAL CLINICS, PLLC",
        "enumeration_date": "2007-03-06",
        "last_updated": "2016-06-22",
        "status": "A",
        "authorized_official_last_name": "VARADA",
        "authorized_official_first_name": "KISHORE",
        "authorized_official_middle_name": "SHM",
        "authorized_official_title_or_position": "CHAIRMAN/OWNER",
        "authorized_official_telephone_number": "509-539-4273",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "WA",
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7139363",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salus Health & Neuropsych Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joeli B. Reim, PA-C
• Laura O Reka, PA-C
• Reliable Healthcare LLC
• Reliance Emergent Care, PLLC
• Reliance Medical Clinics, PLLC
• Reliant RX, LLC
• Remedy Health and Wellness PLLC
• Renew Counseling Services LLC
• Renewal Adult Family Home
• Renewed Pathway, PLLC

• Substance Use Disorder Rehabilitation Clinic/Center in Richland, WA
• Providers in Richland, WA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; 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.