CARSON TAHOE REGIONAL HEALTHCARE (NPI# 1255360160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255360160 |
| Entity Type | Organization |
| Organization Name | CARSON TAHOE REGIONAL HEALTHCARE |
| Practice Address |
1600 Medical Pkwy Carson City NV 89703-4625 |
| Mailing Address |
Po Box 2168 1600 Medical Parkway Carson City NV 89702-2168 |
| Practice Telephone | 7754458672 |
| Practice Fax Number | 7754453200 |
| Mailing Telephone | 7754458672 |
| Mailing Fax Number | 7754453200 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | MITCHELL WATSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 7754458672 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | 635HOS13 | NV | Hospitals |
| Y | 282N00000X | General Acute Care Hospital | 4466HOS4 | NV | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 001013843 | 05 | |
| NV | 001113843 | 05 | |
| NV | 001213843 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447800818 | Carson Tahoe Regional Healthcare | Clinic/Center | 973 Mica Dr Ste 102, Carson City, NV 89705-7257 | 2019-09-17 |
| 1952951352 | Carson Tahoe Regional Healthcare | Clinic/Center | 901 Medical Center Dr, Dayton, NV 89403-7458 | 2019-09-17 |
| 1902456478 | Carson Tahoe Regional Healthcare | Clinic/Center | 925 Ironwood Dr, Minden, NV 89423-5178 | 2019-09-17 |
| 1730739129 | Carson Tahoe Regional Healthcare | Clinic/Center | 1201 S Carson St, Carson City, NV 89701-5225 | 2019-09-17 |
| 1801922844 | Carson Tahoe Regional Healthcare | Rehabilitation Unit | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2007-02-26 |
| 1487789871 | Carson Tahoe Regional Healthcare | Psychiatric Unit | 775 Fleischmann Way, Carson City, NV 89703-2995 | 2007-02-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CARSON TAHOE REGIONAL HEALTHCARE | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Washington State Corporations | CARSON TAHOE REGIONAL HEALTHCARE | 1600 Medical Pkwy, Carson City, NV 89703-4625 |
| Street Address |
1600 MEDICAL PKWY |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89703-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316943913 | Stephen Lane Perry | Internal Medicine | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2005-06-28 |
| 1679194187 | Cheryl Gallio | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-06 |
| 1275154171 | Cristina Mosqueda | Registered Nurse | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-01 |
| 1821619727 | Danielle Dyan Burian | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-01 |
| 1538780424 | Valerie R Jakubos | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2020-05-01 |
| 1548805708 | Chelsea Minifie | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-11-12 |
| 1053955047 | Bethany Adams | Registered Nurse | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-11-01 |
| 1104484138 | Hillary Lawson | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-06-04 |
| 1396300042 | Bridget Henderson | Dietitian, Registered | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2019-05-08 |
| 1124598818 | Julie Westwood | Nurse Practitioner | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2018-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215232 | Madison M Gurries | Audiologist | 1493 Medical Parkway, Carson City, NV 89703 | 2019-06-24 |
| 1609332949 | Tsl Skyline Estates, LLC | Assisted Living Facility | 2705 Mountain St., Carson City, NV 89703 | 2019-02-12 |
| 1790252120 | Reno Orthopaedic Clinic Inc. | Physical Therapist | 1365 Medical Parkway, Carson City, NV 89703 | 2018-10-24 |
| 1265910970 | Marvel Dental Carson City, LLC | Clinic/Center | 410 Fleischmann Way Suite A., Carson City, NV 89703 | 2018-08-03 |
| 1619348489 | Nevada Health Centers Inc. | Clinic/Center | 618 W. Musser Street, Carson City, NV 89703 | 2015-10-19 |
| 1518351089 | Christopher Vlasek | Family Medicine | 412 W John St Ste B, Carson City, NV 89703 | 2015-03-23 |
| 1902215254 | Grant Vaughn Davis | Behavioral Analyst | 1316 Monte Rosa Drive, Carson City, NV 89703 | 2014-08-11 |
| 1437563152 | Nina Patynowski | Nurse Practitioner | 415 W Sofia St, Ste 100, Carson City, NV 89703 | 2014-06-20 |
| 1679853089 | Carson Tahoe Physician Clinics | Family Medicine | 1200 Moutain Street, Suite 220, Carson City, NV 89703 | 2011-08-17 |
| 1790094076 | Darlene Parrish | Occupational Therapy Assistant | 3050 N. Ormsby Bl, Carson City, NV 89703 | 2010-10-04 |
| Find all providers in zip 89703 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871748939 | Lake Tahoe Regional Hospitalists | General Acute Care Hospital | 1600 Medical Pkwy, Carson City, NV 89703-4625 | 2008-11-17 |
| 1336103043 | Sparrow Carson Hospital | General Acute Care Hospital | 406 East Elm Street, Carson City, MI 48811 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605229 | Ronald Kenan | General Acute Care Hospital | 533 Shewsbury Ave, Las Vegas, NV 89178-2414 | 2020-10-08 |
| 1407363070 | Hirk LLC | General Acute Care Hospital | 7220 Mira Vista St, Las Vegas, NV 89120-3025 | 2018-01-04 |
| 1457895336 | De Craig Ranch, LLC | General Acute Care Hospital | 4980 W Sahara Ave, Las Vegas, NV 89102 | 2016-12-12 |
| 1578007514 | De Craig Ranch, LLC | General Acute Care Hospital | 1550 West Craig Rd, North Las Vegas, NV 89032 | 2016-12-09 |
| 1922542968 | De Craig Ranch, LLC | General Acute Care Hospital | 4855 Blue Diamond Rd, Las Vegas, NV 89139 | 2016-12-09 |
| 1346695384 | Cheryle Nichole Peterson | General Acute Care Hospital | 6433 Corrie Canyon St, North Las Vegas, NV 89086-1411 | 2016-04-27 |
| 1346604790 | Jean-marie Swaine, LLC | General Acute Care Hospital | 2450 Granada Bluff Ct, Las Vegas, NV 89135-1341 | 2016-04-12 |
| 1023479755 | Anesthesiology Consultants, Inc | General Acute Care Hospital | 7220 S Cimarron Rd Ste 230, Las Vegas, NV 89113-2173 | 2016-03-08 |
| 1003281452 | Henderson Hospital | General Acute Care Hospital | 1050 West Galleria Drive, Henderson, NV 89011 | 2015-12-10 |
| 1336540491 | Vegas Hospital Care LLC | General Acute Care Hospital | 8656 W Patrick Lane, Las Vegas, NV 89148 | 2014-09-09 |
| Find all providers with the same taxonomy | ||||
| City | CARSON CITY |
| Zip Code | 89703 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.