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NPI Code Detail

MEDICARE: RENOWN REGIONAL MEDICAL CENTER

MEDICARE: RENOWN REGIONAL MEDICAL CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1282N00000XGeneral Acute Care Hospital

General Provider Information

NPI Number : 1932517299
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENOWN REGIONAL MEDICAL CENTER
Provider Business Mailing Address
First Line : 1155 MILL ST # MSM14
Second Line :
City : RENO
State : NV
Zip : 89502-1576
Country : US
Telephone Number : 775-982-5262
Fax Number :
Provider Business Practice Location Address
First Line : 480 GALLETTI WAY
Second Line :
City : SPARKS
State : NV
Zip : 89431-5544
Country : US
Telephone Number : 775-982-8870
Fax Number : 775-982-8871
Authorized Official
Title or Position : CFO ACUTE CARE
Name : MR. BRETT MOORE
Credential :
Telephone Number : 775-982-6343
Provider Enumeration Date : 07/30/2014
Last Update Date : 12/05/2024

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Directions to “RENOWN REGIONAL MEDICAL CENTER ” Practice Location

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