Organization
BARTON HEALTHCARE SYSTEM
Active
Other names
BMHCC - Family Planning Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD PAUL DERBY (CFO)
(530) 543-5844
Entity
Organization
Contact information
Practice address
2201 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7025
(530) 543-5623
Mailing address
1111 EMERALD BAY RD, SOUTH LAKE TAHOE, CA 96150-6207
(530) 543-5979
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053310326
—
NV
Enumeration date
03/09/2011
Last updated
03/09/2011
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