Provider Network, INC

NPI #1508811084 in Fernley, Nevada

Provider Information

NPI Number: 1508811084
Entity Type: Organization
Organization Name: Provider Network, INC
Subpart: Yes (part of a larger organization)
Parent Organization: HOMETOWN HEALTH MANAGEMENT COMPANY
Primary Specialty: Family Medicine
Enumeration Date: May 23, 2006
Last Updated: Jun 7, 2024

Practice Location

Address: 1343 NEWLANDS DR W
City: Fernley
State: Nevada
ZIP Code: 89408-8926
Phone: (775) 982-5000

Authorized Official

Name: MR. BRETT MOORE
Title: CFO ACUTE CARE
Phone: (775) 982-6343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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