Provider Demographics
NPI:1972857779
Name:SAINT MARY'S HEALTH PLANS
Entity Type:Organization
Organization Name:SAINT MARY'S HEALTH PLANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-770-6511
Mailing Address - Street 1:1625 E PRATER WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89434-8969
Mailing Address - Country:US
Mailing Address - Phone:775-770-6210
Mailing Address - Fax:775-352-6616
Practice Address - Street 1:1625 E PRATER WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89434-8969
Practice Address - Country:US
Practice Address - Phone:775-770-6210
Practice Address - Fax:775-352-6616
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT MARY'S HEALTH PLANS, HEALTH MANAGEMENT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health