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TAHOE FOREST HOSPITAL DISTRICT NPI 1801957667


NPI Information

NPI: 1801957667
Provider Name: TAHOE FOREST HOSPITAL DISTRICT

Doing Business As: INCLINE VILLAGE COMMUNITY HOSPITAL

Classification: General Acute Care Hospital - 282NC0060X
Entity Type: Organization

Specialization: Critical Access

CLIA Number: 29D2041428

Address:
880 ALDER AVE
INCLINE VILLAGE, NV
ZIP 89451
Phone: (775) 832-3810
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TAHOE FOREST HOSPITAL DISTRICT is a critical access general acute care hospital in Incline Village, NV. TAHOE FOREST HOSPITAL DISTRICT NPI is 1801957667. The provider is registered as an organization entity type.
The provider Is Doing Business As Incline Village Community Hospital.

The provider's business location address is:

880 ALDER AVE
INCLINE VILLAGE, NV
ZIP 89451-215
Phone: (775) 832-3810
Fax: (775) 832-3800

The provider's authorized official is Crystal L Betts .
The authorized official title is Chief Financial Officer and has the following contact phone number (530) 582-6656.

The CLIA number assigned to this NPI record is 29D2041428 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 5/28/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282NC0060XGeneral Acute Care HospitalCritical Access646HOS-12NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1051328MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
2555231MEDICARE OSCAR/CERTIFICATIONCALIFORNIA
329-1301MEDICARE OSCAR/CERTIFICATIONNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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