Provider Demographics
NPI:1912060245
Name:SAINT MARY'S HEALTHFIRST
Entity Type:Organization
Organization Name:SAINT MARY'S HEALTHFIRST
Other - Org Name:SAINT MARY'S HEALTH ENHANCEMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:M.
Authorized Official - Middle Name:DONALD
Authorized Official - Last Name:KOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-770-6233
Mailing Address - Street 1:343 ELM STREET
Mailing Address - Street 2:SUITE 203
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4538
Mailing Address - Country:US
Mailing Address - Phone:775-770-7051
Mailing Address - Fax:775-770-3883
Practice Address - Street 1:343 ELM STREET
Practice Address - Street 2:SUITE 203
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4538
Practice Address - Country:US
Practice Address - Phone:775-770-7051
Practice Address - Fax:775-770-3883
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAINT MARY'S HEALTHFIRST
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-18
Last Update Date:2011-05-16
Deactivation Date:2008-05-28
Deactivation Code:
Reactivation Date:2009-11-12
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
6006015OtherAETNA
CY066AMedicare UPIN