Organization
COMMUNITY CARE SERVICES LLC
Active
Other names
Renown Health Medical Group, Renown Health
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT MOORE (CFO)
(775) 982-6343
Entity
Organization
Contact information
Practice address
75 PRINGLE WAY, SUITE 300, RENO, NV 89502-1464
(775) 982-5000
(775) 982-6021
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659324069
—
NV
Enumeration date
05/18/2006
Last updated
12/14/2023
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