Organization
CARSON TAHOE REGIONAL HEALTHCARE
Active
Parent organization
CARSON TAHOE REGIONAL HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CARSON TAHOE REGIONAL HEALTHCARE
Authorized official
KATIE KUCERA (CHIEF FINANCIAL OFFICER)
(775) 445-8672
Entity
Organization
Contact information
Practice address
1201 S CARSON ST, CARSON CITY, NV 89701-5225
(775) 445-7330
Mailing address
PO BOX 2168, 1600 MEDICAL PARKWAY, CARSON CITY, NV 89702-2168
(775) 445-8672
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013843
—
NV
05
—
001113843
—
NV
05
—
001213843
—
NV
Enumeration date
09/17/2019
Last updated
04/26/2022
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