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HOMETOWN HEALTH MANAGEMENT COMPANY NPI 1861445892


NPI Information

NPI: 1861445892
Provider Name: HOMETOWN HEALTH MANAGEMENT COMPANY

Doing Business As: RENOWN HEALTH MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 29D2123694

Address:
1525 LOS ALTOS PKWY
SPARKS, NV
ZIP 89436
Phone: (775) 982-5000
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HOMETOWN HEALTH MANAGEMENT COMPANY is a family medicine in Sparks, NV. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HOMETOWN HEALTH MANAGEMENT COMPANY NPI is 1861445892. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Renown Health Medical Group.

The provider's business location address is:

1525 LOS ALTOS PKWY
SPARKS, NV
ZIP 89436-692
Phone: (775) 982-5000
Fax: (775) 982-3900

The provider's authorized official is Ann T. Beck .
The authorized official title is Cfo Renown Health and has the following contact phone number (775) 982-6488.

The CLIA number assigned to this NPI record is 29D2123694 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/19/2006 and was last updated on 2/1/2021.


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
1207R00000XInternal MedicineNo
2261QU0200XClinic/CenterUrgent CareNo
3363A00000XPhysician AssistantNo
4363L00000XNurse PractitionerNo
5207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CB6606OTHERNEVADARR MEDICARE PTAN

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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