FERNLEY MEDICAL GROUP
NPI 1508811084
Family Medicine in Fernley, NV

Q: What is Provider Network, Inc's NPI number?

The NPI number for Provider Network, Inc is 1508811084. It was assigned to this organization in the NPPES registry on May 23, 2006. The provider is doing business as Fernley Medical Group.

Q: What is Provider Network, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 23, 2006

1343 NEWLANDS DR W, FERNLEY, NV 89408(775) 982-5000(775) 982-6504 Get Directions Write a Review

NPPES record last updated: June 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 7, 2024, Mar 4, 2021, Nov 14, 2018 (3 updates tracked since 2018).

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About Fernley Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FERNLEY MEDICAL GROUP (NPI 1508811084) is a healthcare organization registered as a family medicine in Fernley, Nevada and active in the NPI registry since May 2006. The organization lists Brett Moore, Cfo Acute Care, as its authorized official.

NPPES Registry Identity

NPI1508811084

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NamePROVIDER NETWORK, INC

Location Address1343 NEWLANDS DR WFernley, NV 89408-8926

Mailing Address1155 Mill St # M14Reno, NV 89502-1576 · (775) 982-5262 · Fax (775) 982-5496

Phone(775) 982-5000

Fax(775) 982-6504

Organization SubpartYesParent: Hometown Health Management Company

Authorized OfficialBrett MooreCfo Acute Care · (775) 982-6343

Enumeration DateMay 23, 2006

Last NPPES UpdateJune 7, 20243 updates tracked since enumeration

NPPES CertifiedJune 7, 2024

✔ NPI 1508811084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

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.

1343 NEWLANDS DR W, Fernley, NV 89408

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Other Names 1

Doing Business AsFernley Medical Group

Other Identifiers 1

OtherCG0436NV · Rr Medicare Ptan

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. ASHLEY CHRISTINE RESAVY FNP-C

Nurse Practitioner (Family)