CARSON TAHOE REGIONAL HEALTHCARE NPI 1902456478

NPI Information

NPI: 1902456478
Provider Name: CARSON TAHOE REGIONAL HEALTHCARE
Classification: Clinic/Center - 261QE0002X
Specialization: Emergency Care
Entity Type: Organization
CLIA Number: 29D0652756
Address: 925 IRONWOOD DR
MINDEN, NV
ZIP 89423
Phone: (775) 445-5735

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NPI Details

CARSON TAHOE REGIONAL HEALTHCARE is an emergency care clinic center in Minden, NV. CARSON TAHOE REGIONAL HEALTHCARE NPI is 1902456478. The provider is registered as an organization entity type.

The provider's business location address is:

925 IRONWOOD DR
MINDEN, NV
ZIP 89423-178
Phone: (775) 445-5735

The provider's authorized official is Mitchell Watson .
The authorized official title is Chief Financial Officer and has the following contact phone number (775) 445-8672.

The CLIA number assigned to this NPI record is 29D0652756 - hospital with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 9/17/2019 and was last updated on 9/17/2019.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0002X	Clinic/Center	Emergency Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	001113843	MEDICAID	NEVADA
2	001013843	MEDICAID	NEVADA
3	001213843	MEDICAID	NEVADA

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: 3/30/2025

NPI Synchronization or Removal

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