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Organization

BARTON AMBULATORY CLINICS

Active
Parent organization
BARTON HEALTHCARE SYSTEM
Organization subpart
Yes

Provider details

NPI number
Legal business name
BARTON HEALTHCARE SYSTEM
Authorized official
ASHLEY RUSSELL (CREDENTIALING SPECIALIST)
(530) 543-5636
Entity
Organization

Contact information

Practice address
2170 SOUTH AVE STE B, SOUTH LAKE TAHOE, CA 96150-7026
(530) 539-6600
Mailing address
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150-7026
(530) 539-6600

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary

Other

Enumeration date
05/06/2020
Last updated
05/06/2020
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