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DSH290001 RENOWN REGIONAL MEDICAL CENTER (Active)
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Main Details
Name
RENOWN REGIONAL MEDICAL CENTER
Subdivision Name
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH290001
Medicare Provider Number
290001
Additional Details
Current Program Status
Active
Registration Date
3/10/2009
Participating Start Date
4/1/2009
Participating Approval Date
3/10/2009
Last Recertification Date
8/15/2024
Contacts
Authorizing Official
Renown Regional Medical Center
Brett Moore, CFO Acute Care
(775) 982-6343
Primary Contact
Renown Regional Medical Center
Adam David Porath, VP of Pharmacy Services
(775) 982-6838
Addresses
Street Address
1155 MILL STREET
RENO, NV 89502-1474
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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3/23/12 Removed Medicaid # (Was 28-16185); 2/27/09 DOC RECD TO CONFIRM ELIGIBLE DSH ADJ%
03/23/2012
2/27/09 DOC RECD TO CONFIRM ELIGIBLE DSH ADJ%
03/10/2009
April 2025
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