Provider Network, Inc
Provider Network, Inc is a healthcare organization registered as Family Medicine Physician in Fernley, NV, holding Type 2 (organization) NPI 1508811084 since 2006. The authorized official on file is Brett Moore, Cfo Acute Care.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1508811084 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Provider Network, Inc |
| Other name | <Unavail> |
| Parent organization | Hometown Health Management Company |
| Practice address | 1343 NEWLANDS DR W, Fernley, NV, 89408 |
| Phone | 7759825000 |
| Fax | 7759826504 |
| Enumeration date | 2006-05-23 |
| Last updated in NPPES | 2024-06-07 |
Authorized official
| Name | Brett Moore |
|---|---|
| Title | Cfo Acute Care |
| Phone | 7759826343 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | — | NV |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG0436 | Other | NV | RR MEDICARE PTAN |
Copy-ready billing details
Provider: Provider Network, Inc NPI: 1508811084 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 1343 NEWLANDS DR W, Fernley, NV, 89408
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821043381 | Renown Urgent Care LLC | Organization | Family Medicine Physician | Fernley, NV |
Verify this record
Cross-check NPI 1508811084 against the authoritative CMS record: view Provider Network, Inc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is the NPI number for Provider Network, Inc?
Who is the authorized official for Provider Network, Inc?
Source: CMS NPPES (public data). Snapshot 2026-07-09. Provider record last updated 2024-06-07.