TAHOE CARSON VALLEY MEDICAL GROUP, INC. is a durable medical equipment medical supplies in Stateline, NV. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. TAHOE CARSON VALLEY MEDICAL GROUP, INC. NPI is 1124334776. The provider is registered as an organization entity type.
The provider Other Name Is Dme-stateline Medical Center.
The provider's business location address is:
155 HWY 50
STATELINE, NV
ZIP 89449-800
Phone: (775) 589-8900
Fax: (775) 588-7110
The provider's authorized official is Gregory Walter Bergner .
The authorized official title is President and has the following contact phone number (775) 589-8900.
The CLIA number assigned to this NPI record is 29D0927057 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 8/20/2010 and was last updated on 9/19/2012.