Organization
RENOWN SOUTH MEADOWS 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
10101 DOUBLE R BLVD, RENO, NV 89521-5931
(775) 982-7000
(775) 982-7089
Mailing address
1155 MILL ST, CENTRAL BUSINESS OFFICE N-12, RENO, NV 89502-1576
(775) 982-7000
(775) 982-7089
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2373HOS-17
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100502741
—
NV
05
—
100502742
—
NV
01
—
290049
BLUE CROSS OF CA
CA
01
—
CC7515
BCBS
NV
01
—
V100380
MEDICARE PART B
—
05
—
XHSP33672
—
CA
05
—
XHSP43672
—
CA
Enumeration date
01/26/2006
Last updated
04/09/2025
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