Organization
RENOWN REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT MOORE (CFO ACUTE CARE)
(775) 982-6343
Entity
Organization
Contact information
Practice address
1155 MILL STREET, RENO, NV 89502-1474
(775) 982-4100
(775) 982-4900
Mailing address
1155 MILL ST, CENTRAL BUSINESS OFFICE N-12, RENO, NV 89502-1576
(775) 982-6615
(775) 982-8276
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
669HOS-13
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001116885
—
NV
05
—
001216885
—
NV
01
—
290001
BLUE CROSS
CA
01
—
CC6040
BCBS
NV
05
—
HSP60171F
—
CA
01
—
USA291780
WMC CALIFORNIA BLUE SHLD
CA
01
—
V100176
MEDICARE ROSTER BILLING
NV
01
—
VW29000101
MEDICARE PART B
—
05
—
ZZR20171F
—
CA
Enumeration date
01/26/2006
Last updated
10/07/2025
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