PRIME HEALTHCARE SERVICES RENO LLC (NPI# 1114430311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114430311 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES RENO LLC |
| Other Organization Name | SAINT MARY'S REGIONAL MEDICAL CENTER |
| Practice Address |
235 W 6th St Reno NV 89503-4548 |
| Practice Telephone | 7757703000 |
| Practice Fax Number | 7557703963 |
| Mailing Telephone | 7757703000 |
| Mailing Fax Number | 7557703963 |
| Enumeration Date | 2017-11-09 |
| Last Update Date | 2017-11-09 |
| Authorized Official Name | CHRISTOPHER DOAN (CHIEF COMPLIANCE COUNSEL) |
| Authorized Official Telephone | 9092354307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 273R00000X | Psychiatric Unit | 658-HOS-31 | NV | Hospital Units |
| Other Name | Type Code |
|---|---|
| Saint Mary's Regional Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205193471 | Prime Healthcare Services Reno LLC | Hospice Care, Community Based | 690 Sierra Rose Dr, Reno, NV 89511-2072 | 2012-04-12 |
| 1316442346 | Prime Healthcare Services Reno LLC | Clinic/Center | 645 N Arlington Ave Ste 120, Reno, NV 89503-4441 | 2018-03-30 |
| 1730590456 | Prime Healthcare Services Reno LLC | Durable Medical Equipment & Medical Supplies | 235 W 6th St, Reno, NV 89503-4548 | 2014-05-15 |
| 1851658025 | Prime Healthcare Services Reno LLC | Rehabilitation Unit | 235 W 6th St, Reno, NV 89503-4548 | 2012-04-12 |
| 1578820742 | Prime Healthcare Services Reno LLC | Home Health | 235 W 6th St, Home Health, Reno, NV 89503-4548 | 2012-04-12 |
| 1801152566 | Prime Healthcare Services Reno LLC | General Acute Care Hospital | 235 W 6th St, Reno, NV 89503-4548 | 2012-04-06 |
| Street Address |
235 W 6TH ST |
| City | RENO |
| State | NV |
| Zip Code | 89503-4548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578551263 | Andrew Douglas Coley | Emergency Medicine | 235 W 6th St, Reno, NV 89503-4548 | 2005-10-07 |
| 1629682497 | Jerry Agbor Egbetakor | Pharmacist | 235 W 6th St, Reno, NV 89503-4548 | 2020-08-31 |
| 1043789373 | Cep America - Anesthesia PC | Anesthesiology | 235 W 6th St, Reno, NV 89503-4548 | 2018-11-15 |
| 1487163135 | Kristy Lee Torres | Specialist/Technologist, Other | 235 W 6th St, Reno, NV 89503-4548 | 2017-09-26 |
| 1932620986 | Deepthi Ciddi | Internal Medicine | 235 W 6th St, Reno, NV 89503-4548 | 2017-06-29 |
| 1568991081 | Allison Gauvain | Registered Nurse | 235 W 6th St, Reno, NV 89503-4548 | 2017-06-08 |
| 1801337241 | David Kurtmen | Family Medicine | 235 W 6th St, Reno, NV 89503-4548 | 2017-03-18 |
| 1659819845 | Colleen Weeks | Physician Assistant | 235 W 6th St, Reno, NV 89503-4548 | 2017-02-07 |
| 1972965127 | Tyler Primavera | Internal Medicine | 235 W 6th St, Reno, NV 89503-4548 | 2016-03-27 |
| 1801278163 | Kimberlee Charles, Md, LLC | Clinic/Center | 235 W 6th St, Reno, NV 89503-4548 | 2015-06-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654932 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 401 West 2nd Street, Reno, NV 89503 | 2018-10-02 |
| 1356825392 | Shelby Downs | Behavior Technician | 2730 W 7th St, Reno, NV 89503 | 2018-09-15 |
| 1659805570 | Lee Ann Malone | Counselor | 200 W 1st St, Ste 200, Reno, NV 89503 | 2017-04-18 |
| 1255786828 | Eric Allen Hare | Counselor | 1201 North Stewart Street, Sutie 120, Carson City, NV 89503 | 2016-05-02 |
| 1407226095 | Travis B Adams | Dentist | 855 W Seventh St, Ste 200, Reno, NV 89503 | 2015-09-25 |
| 1477933877 | Shawn Mahan | Counselor | 900 W. First Streeet, Reno, NV 89503 | 2015-06-02 |
| 1801144431 | Yesenia Hernandez | Community Health Worker | 900w 1st Street Ste.200, Reno, NV 89503 | 2012-08-29 |
| 1053667501 | Barbara Frey | Social Worker | 580 W 5th Street, Reno, NV 89503 | 2012-08-01 |
| 1548546146 | The Note-ables | Day Training, Developmentally Disabled Services | 925 Riverside Drive, Suite 6, Reno, NV 89503 | 2011-10-26 |
| 1194011270 | Joanne Krumpe | Psychologist | 507 W. 6th St, Reno, NV 89503 | 2011-06-27 |
| Find all providers in zip 89503 | ||||
| Taxonomy Code | 273R00000X |
| Grouping | Hospital Units |
| Classification | Psychiatric Unit |
| In general, a distinct unit of a hospital that provides acute or long-term care to emotionally disturbed patients, including patients admitted for diagnosis and those admitted for treatment of psychiatric problems on the basis of physicians' orders and approved nursing care plans. Long-term care may include intensive supervision to the chronically mentally ill, mentally disordered or other mentally incompetent persons; (2) For Medicare, a distinct part of a general acute care hospital admitting only patients whose admission to the unit is required for active treatment, whose treatment is of an intensity that can be provided only in an inpatient hospital setting, and whose condition is described by a psychiatric principal diagnosis contained in the Third Edition of the American Psychiatric Association Diagnostic and Statistical Manual or in Chapter 5 (Mental Disorders) of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM). The unit must furnish, through the use of qualified personnel, psychological services, social work services, psychiatric nursing, occupational therapy, and recreational therapy. The unit must maintain medical records that permit determination of the degree and intensity of treatment provided to individuals who are furnished services in the unit; the unit must meet special staff requirements in that the unit must have adequate numbers of qualified professional and supportive staff to evaluate inpatients, formulate written, individualized, comprehensive treatment plans, provide active treatment measures and engage in discharge planning. |
| Notes: Source: (1) AHA Annual Survey p. A10 1996 AHA Guide; (2) Code of Federal Regulations #42, Section 412.27. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730591389 | Don Pablo | Psychiatric Unit | 6900 N.pecos Rd, N.las Vegas, NV 89086 | 2014-05-29 |
| 1568560555 | Internal Medicine | Psychiatric Unit | 8757 Carlitas Joy Ct, Las Vegas, NV 89117-3540 | 2006-09-21 |
| 1427593078 | Erin Marie Nettles | Psychiatric Unit | 480 Galletti Way, Sparks, NV 89431-5564 | 2017-01-05 |
| 1205378817 | Nnamhs | Psychiatric Unit | 480 Galletti Way, Sparks, NV 89431-5564 | 2016-11-14 |
| 1497153530 | Prime Healthcare Services North Vista LLC | Psychiatric Unit | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2014-12-05 |
| 1174950406 | London Care Center, LLC | Psychiatric Unit | 2026 Silverton Dr, Henderson, NV 89074-1550 | 2013-10-01 |
| 1952665960 | Carson Tahoe Behavioral Health Services | Psychiatric Unit | 775 Fleischmann Way, Carson City, NV 89703-2995 | 2012-06-25 |
| 1407125321 | Southern Hills Medical Center, LLC | Psychiatric Unit | 9300 W Sunset Rd, Las Vegas, NV 89148-4844 | 2011-12-21 |
| 1467750034 | Phc-elko Inc | Psychiatric Unit | 2001 Errecart Blvd, Elko, NV 89801-8333 | 2011-03-07 |
| 1154623569 | Desert Springs Hospital | Psychiatric Unit | 2075 E Flamingo Rd, Las Vegas, NV 89119-5188 | 2010-11-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.