Organization
HOMETOWN HEALTH MANAGEMENT COMPANY
Active
Other names
Renown Health Medical Group, Renown Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT MOORE (CFO ACUTE CARE)
(775) 982-6343
Entity
Organization
Contact information
Practice address
1525 LOS ALTOS PKWY, SPARKS, NV 89436-6692
(775) 982-5000
(775) 982-3900
Mailing address
1155 MILL ST # M14, RENO, NV 89502-1576
(775) 982-5262
(775) 982-5496
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB6606
RR MEDICARE PTAN
NV
Enumeration date
05/19/2006
Last updated
06/07/2024
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