Provider Demographics
NPI:1275568479
Name:BROWN, CALVANESE, CAMERON LTD
Entity Type:Organization
Organization Name:BROWN, CALVANESE, CAMERON LTD
Other - Org Name:WESTERN EMERGENCY PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MASSEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-324-4040
Mailing Address - Street 1:PO BOX 11276
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89510-1276
Mailing Address - Country:US
Mailing Address - Phone:775-324-4040
Mailing Address - Fax:775-324-4042
Practice Address - Street 1:1155 MILL ST
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1576
Practice Address - Country:US
Practice Address - Phone:775-324-4040
Practice Address - Fax:775-324-4042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-12
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100500836Medicaid
NV201696000Medicaid
NV201660000Medicaid
NVCU0139OtherRAILROAD
NV100500836Medicaid