# CARSON TAHOE PHYSICIAN HOSPITAL ORGANIZATION, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689446361
- **Authorized official:** CHRIS POERTNER (MANAGER)
- **Authorized official phone:** (775) 445-7589

## Contact information

- **Practice address:** 1600 MEDICAL PKWY, CARSON CITY, NV 89703-4625
- **Practice address phone:** (775) 445-8781
- **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 |

## Other

- **Enumeration date:** 10/25/2023
- **Last updated:** 10/25/2023