| Barton Healthcare System | |
|
2201 South Ave South Lake Tahoe CA 96150-7025 | |
| (530) 543-5623 | |
| (530) 541-5738 |
| Full Name | Barton Healthcare System |
|---|---|
| Speciality | Clinic/Center |
| Location | 2201 South Ave, South Lake Tahoe, California |
| Authorized Official Name and Position | Clinton D Purvance (PRESIDENT/CEO) |
| Authorized Official Contact | 5305413420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barton Healthcare System 2170 South Ave South Lake Tahoe CA 96150-7026 Ph: (530) 543-5659 | Barton Healthcare System 2201 South Ave South Lake Tahoe CA 96150-7025 Ph: (530) 543-5623 |
| NPI Number | 1053310326 |
|---|---|
| Provider Enumeration Date | 07/19/2005 |
| Last Update Date | 06/12/2023 |
| Medicare PECOS PAC ID | 1850293960 |
|---|---|
| Medicare Enrollment ID | O20050324001334 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053310326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (California) | Primary |
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Barton Healthcare System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 | |
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