Community Care Services LLC
Internal Medicine, Critical Care Medicine in Reno, NV. Organization (NPI-2).
NPI number1083178065
StatusActive
Last updated in NPPESApr 9, 2025
Details
- NPI
- 1083178065
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Care Services LLC
- Organization subpart
- No
- Enumeration date
- Jan 24, 2019
- Certification date
- Apr 9, 2025
- Last updated
- Apr 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RC0200X | Internal Medicine, Critical Care Medicine | – | – | Yes |
| 207LC0200X | Anesthesiology, Critical Care Medicine | – | – | |
| 207P00000X | Emergency Medicine | – | – | |
| 207RP1001X | Internal Medicine, Pulmonary Disease | – | – | |
| 363A00000X | Physician Assistant | – | – | |
| 363L00000X | Nurse Practitioner | – | – |
Other names
- Medical Intensivists (Other Name)
Practice location
1155 Mill StReno, NV 89502-1576
Phone 775-982-7878 · Fax 775-982-4196
Mailing address
1155 Mill St # M14Reno, NV 89502-1576
Phone 775-982-5262 · Fax 775-982-5496
Other practice locations
10101 Double R Blvd
Reno, NV 89521-3149
Reno, NV 89521-3149
Phone 775-982-7000 · Fax 775-982-4196
Authorized official
Brett Moore
Cfo Acute Care
7759826343
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