SAINT MARY'S OUTREACH CLINICS
NPI 1225369473
Clinic/Center - Multi-Specialty in Fallon, NV
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 29D2099245
- CLIA Cert. Type: Other - WOUND CARE CLINIC
- CLIA Exp. Date: 07-22-2027
About SAINT MARY'S OUTREACH CLINICS
This page provides the complete NPI Profile along with additional information for Saint Mary's Outreach Clinics, a provider established in Fallon, Nevada operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1225369473 assigned on January 2010. The practitioner's primary taxonomy code is 261QM1300X with license number 658HOS-20 (NV). The provider is registered as an organization and their NPI record was last updated 14 years ago. The provider's is doing business as Saint Mary's Outreach Clinics. The authorized official of this NPI record is John Deakyne (Chief Financial Officer)
- NPI
- 1225369473 Verify this NPI
- Provider Legal Name
- DIGNITY HEALTH
- Other Organization Name
- SAINT MARY'S OUTREACH CLINICS
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 801 E WILLIAMS AVE SUITE 1101 FALLON, NV 89406
- Location Phone
- (775) 327-8196
- Mailing Address
- 235 W 6TH ST RENO, NV 89503
- Mailing Phone
- (775) 770-3000
- Mailing Fax
- (775) 770-4548
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 01-27-2010
- Last Update Date
- 03-27-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 658HOS-20
- License State
- NV
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 880059665 | OTHER (01) | IRS - SP TIN | |
| 001116875 | MEDICAID (05) | NV | |
| 290009 | MEDICARE OSCAR/CERTIFICATION (06) |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 29D2099245
- Facility Type
- Other - WOUND CARE CLINIC
- Certificate Effective Date
- July 23, 2025
- Certificate Expiration Date
- July 22, 2027
- Laboratory Director
- MICHAEL S. POWELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Saint Mary's Outreach Clinics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
FALLON, NV 89406
FALLON, NV 89406
FALLON, NV 89406
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225369473, enumerated as an "organization" on January 27, 2010.
The provider is located at 801 E WILLIAMS AVE SUITE 1101 FALLON, NV 89406 and the phone number is (775) 327-8196.
Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
