Fernley Medical Group

LBN: Provider Network, Inc
Fernley Medical Group is an health care organization with primary practice located at 1343 Newlands Dr W , Fernley NV 89408-8926. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Provider Network, Inc can be contacted via phone (775) 982-5000, or through Moore, Brett via phone (775) 982-6343.

Contact Information

Primary practice address
1343 Newlands Dr W Fernley NV 89408-8926
Phone: (775) 982-5000
Fax: (775) 982-6504
Website:
Map and Directions
Authorized official contact:
Name: Moore, Brett
Phone: (775) 982-6343

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X Nevada

Profile Details

NPI number 1508811084
LBN Legal business name Provider Network, Inc
DBA Doing business as Fernley Medical Group
Authorized official Moore, Brett
Entity Organization
Organization subpart 1 Yes
Enumeration date May 23rd, 2006
Last updated Jun 7th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508811084 NPPES
Nevada Other CG0436 RR MEDICARE PTAN

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