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COMPREHENSIVE SURGICAL CARE OF RENO-TAHOE LLC NPI 1376159228


NPI Information

NPI: 1376159228
Provider Name: COMPREHENSIVE SURGICAL CARE OF RENO-TAHOE, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 03D2214991

Address:
5443 KIETZKE LN STE 100
RENO, NV
ZIP 89511
Phone: (775) 502-1660
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COMPREHENSIVE SURGICAL CARE OF RENO-TAHOE, LLC is an ambulatory surgical clinic center in Reno, NV. COMPREHENSIVE SURGICAL CARE OF RENO-TAHOE, LLC NPI is 1376159228. The provider is registered as an organization entity type.

The provider's business location address is:

5443 KIETZKE LN STE 100
RENO, NV
ZIP 89511-088
Phone: (775) 502-1660

The provider's authorized official is Joel Rainwater .
The authorized official title is Ceo and has the following contact phone number (480) 374-7354.

The CLIA number assigned to this NPI record is 03D2214991 - ambulatory surgery center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/16/2020 and was last updated on 3/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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