# CARSON TAHOE REGIONAL HEALTHCARE

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

## Provider details

- **NPI number:** 1447800818
- **Legal business name:** CARSON TAHOE REGIONAL HEALTHCARE
- **Authorized official:** MITCHELL WATSON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (775) 445-8672

## Contact information

- **Practice address:** 973 MICA DR STE 102, CARSON CITY, NV 89705-7257
- **Practice address phone:** (775) 445-7970
- **Mailing address:** PO BOX 2168, 1600 MEDICAL PARKWAY, CARSON CITY, NV 89702
- **Mailing address phone:** (775) 445-8672

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/17/2019
- **Last updated:** 09/17/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001013843 | — | NV |
| 05 | — | 001113843 | — | NV |
| 05 | — | 001213843 | — | NV |