| Saint Mary's Outreach Clinics | |
|
801 E Williams Ave Suite 1101 Fallon NV 89406-3052 | |
| (775) 327-8196 | |
| Not Available |
| Full Name | Saint Mary's Outreach Clinics |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 801 E Williams Ave, Fallon, Nevada |
| Authorized Official Name and Position | John Deakyne (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 7757706239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Saint Mary's Outreach Clinics 235 W 6th St Reno NV 89503-4548 Ph: (775) 770-3000 | Saint Mary's Outreach Clinics 801 E Williams Ave Suite 1101 Fallon NV 89406-3052 Ph: (775) 327-8196 |
| NPI Number | 1225369473 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 03/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225369473 | NPI | - | NPPES |
| 001116875 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 658HOS-20 (Nevada) | Primary |
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