ST. MARY'S CHW PRIMARY CARE PLUS


Address: 235 W 6th St, Reno, NV 89503-4548
Phone: 7757707351

ST. MARY'S CHW PRIMARY CARE PLUS (NPI# 1326350778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326350778
Entity Type Organization
Organization Name ST. MARY'S CHW PRIMARY CARE PLUS
Practice Address 235 W 6th St
Reno
NV 89503-4548
Mailing Address Po Box 9035
Reno
NV 89507-9035
Practice Telephone 7757707351
Enumeration Date 2010-07-13
Last Update Date 2010-07-13
Authorized Official Name ELISE GRONHAGEN (CREDENTIALING)
Authorized Official Telephone 7757707351
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QU0200X Clinic/Center
Specialization: Urgent Care
NV Ambulatory Health Care Facilities

Office Location

Street Address 235 W 6TH ST
City RENO
State NV
Zip Code 89503-4548

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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
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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 261QU0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Urgent Care

Taxonomy Definition

Definition to come...

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1073939609 A Plus Urgent Care LLC Clinic/Center 976 Mountain City Hwy, Elko, NV 89801-2728 2014-03-06
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Competitor

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City RENO
Zip Code 89503

Improve Information

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Dataset Information

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.

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