| Carson Tahoe Regional Healthcare | |
|
775 Fleischmann Way Carson City NV 89703-2995 | |
| (775) 445-8672 | |
| (775) 445-3200 |
| Full Name | Carson Tahoe Regional Healthcare |
|---|---|
| Speciality | Psychiatric Unit |
| Location | 775 Fleischmann Way, Carson City, Nevada |
| Authorized Official Name and Position | Mitchell Watson (CHEIF FINANCIAL OFFICER) |
| Authorized Official Contact | 7754458672 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carson Tahoe Regional Healthcare Po Box 2168 1600 Medical Parkway Carson City NV 89702-2168 Ph: (775) 445-8672 | Carson Tahoe Regional Healthcare 775 Fleischmann Way Carson City NV 89703-2995 Ph: (775) 445-8672 |
| NPI Number | 1487789871 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 09/17/2019 |
| Medicare PECOS PAC ID | 1759284862 |
|---|---|
| Medicare Enrollment ID | O20080108000307 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487789871 | NPI | - | NPPES |
| 001113843 | Medicaid | NV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 273R00000X | Psychiatric Unit | 635HOS14 (Nevada) | Primary |
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