| Tahoe Forest Multispecialty Clinics | |
|
10956 Donner Pass Rd Suite 130 Truckee CA 96161-4861 | |
| (530) 587-3523 | |
| Not Available |
| Full Name | Tahoe Forest Multispecialty Clinics |
|---|---|
| Speciality | Clinic/Center |
| Location | 10956 Donner Pass Rd, Truckee, California |
| Authorized Official Name and Position | Crystal Betts (CFO) |
| Authorized Official Contact | 5305826656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tahoe Forest Multispecialty Clinics 10956 Donner Pass Rd Suite 130 Truckee CA 96161-4861 Ph: () - | Tahoe Forest Multispecialty Clinics 10956 Donner Pass Rd Suite 130 Truckee CA 96161-4861 Ph: (530) 587-3523 |
| NPI Number | 1285174169 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 02/27/2017 |
| Medicare PECOS PAC ID | 0446161335 |
|---|---|
| Medicare Enrollment ID | O20171116000925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285174169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 230000151 (California) | Primary |
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