# CARSON TAHOE PHYSICIAN HOSPITAL ORGANIZATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CARSON TAHOE REGIONAL HEALTHCARE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1063169829
- **Legal business name:** CARSON TAHOE REGIONAL HEALTHCARE
- **Authorized official:** KATIE KUCERA (DIRECTOR OF FINANCE)
- **Authorized official phone:** (775) 445-7917

## Contact information

- **Practice address:** 1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
- **Practice address phone:** (775) 445-8000
- **Mailing address:** PO BOX 2168, CARSON CITY, NV 89702-2168

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 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