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Organization
CARSON TAHOE PHYSICIAN HOSPITAL ORGANIZATION, LLC
Active
Organization
CARSON TAHOE PHYSICIAN HOSPITAL ORGANIZATION, LLC
Active
Parent organization
CARSON TAHOE REGIONAL HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARSON TAHOE REGIONAL HEALTHCARE
Authorized official
KATIE KUCERA (DIRECTOR OF FINANCE)
(775) 445-7917
Entity
Organization
Contact information
Practice address
1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
(775) 445-8000
Mailing address
PO BOX 2168, CARSON CITY, NV 89702-2168
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
NULL
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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