SUMMIT RIDGE MEDICAL CENTER – NPI #1730109935
Clinic/Center

SUMMIT RIDGE MEDICAL CENTER is an AHC clinic located in RENO, NV. NPPES has assigned the NPI number 1730109935 to SUMMIT RIDGE MEDICAL CENTER on July 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SUMMIT RIDGE MEDICAL CENTER” is a dba name, the actual legal business name for this organization is GRACCTIC, LLC. The primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SUMMIT RIDGE MEDICAL CENTER below.

NPI Profile for
GRACCTIC, LLC

NPI Number
1730109935
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GRACCTIC, LLC
Doing Business As (dba): SUMMIT RIDGE MEDICAL CENTER
Primary location
4791 SUMMIT RIDGE DRIVE
RENO, NV 89523
Phone: (775) 624-2200 Fax: (775) 624-2211
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT STEFANKO
MEDICAL DIRECTOR
Phone: (775) 337-2012
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.