# BARTON HEALTHCARE SYSTEM

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Tahoe Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700963725
- **Authorized official:** DR. CLINTON D PURVANCE MD (PRESIDENT/CEO)
- **Authorized official phone:** (530) 543-5840

## Contact information

- **Practice address:** 212 ELKS POINT RD, SUITE 201, ZEPHYR COVE, NV 89448-8001
- **Practice address phone:** (775) 588-9188
- **Practice address fax:** (775) 588-4337
- **Mailing address:** 2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
- **Mailing address phone:** (530) 541-3420
- **Mailing address fax:** (530) 541-8723

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 1888ASC | NV | Yes |

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 08/17/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1700963725 | — | NV |