Organization
COMMUNITY CARE SERVICES LLC
Active
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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