Barton Healthcare System
Organization Active NPI General Acute Care Hospital · South Lake Tahoe, CA
NPI 1003867565 · NPPES record last updated Aug 17, 2023
Key facts
- NPI
- 1003867565
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- License
- 030000013 (CA)
- Legal business name
- BARTON HEALTHCARE SYSTEM
- Practice address
- 2170 South Ave
South Lake Tahoe, CA 96150-7026 - Phone
- (530) 541-3420
- Fax
- (530) 541-2512
- NPI assigned
- May 12, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Clinton D Purvance, MD
- Title
- President/Ceo
- Phone
- (530) 541-3420
Owners & managing parties with NPI records 7
Owned or controlled facilities with NPI records 6
Other NPIs on the same Medicare enrollment 4
Other NPIs with the same Medicare PAC ID 7
Related certifications (CCN) 1
Facilities with the same owner 5
Practitioners 30
-
Bradley Wayne Gray, M.D.
-
Grace Harding, D.O.
-
Jacob Marquette, DO
-
Corey A MC Leod, MD
-
Tamara McBride, MD
-
Meagan Nordstrom, MD
-
Kelly Vial, FNP
-
David Ronald Young, M.D.
-
Brett Bailey, D.O
Affiliated clinicians 244
-
Amy Pape Anton, MD
-
Sierra C Armstrong, FNP
-
Azadeh Brumand, D.O.
-
Zachary A Child, MD
-
Peter Clark, M.D.
-
Kyle Erkkila, PA-C
-
Jana Florian, MD
-
Alison C Ganong, MD
-
Bradley Wayne Gray, M.D.
-
Grace Harding, D.O.
-
Ryan W Horton, MD
-
Elke Anne Houser, FNP-C, ENP-C, RN,
Medicare Care Compare: Hospital
- Listed as
- Barton Memorial Hospital
- Overall star rating
- ★★★☆☆ 3 of 5
- Type
- Acute Care Hospitals
- Ownership
- Voluntary non-profit - Private
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in CA
Hospital certification: CCN 050352
- Legal name
- BARTON HEALTHCARE SYSTEM
- Doing business as
- BARTON MEMORIAL HOSPITAL
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jul 1, 1966
- Last certification
- Oct 31, 2024
- Beds
- 64
- Ownership / control type
- Private (not for profit)
- Organization structure
- Corporation · Non-profit
- Incorporated
- May 31, 1960 in CA
- Enrollment address
- 2170 South Ave
S Lake Tahoe, CA 96150-7026 - Hospital subgroups
- General, Acute care
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Abby Killebrew |
Corporate Director | May 22, 2014 | |
| Barton Healthcare System |
5% Or Greater Direct Ownership Interest | Dec 2, 2005 | 100% |
| Kelly Neiger |
Corporate Officer |
Nov 11, 2018 | |
| Operational/Managerial Control | Nov 11, 2018 | ||
| Clinton D Purvance |
Corporate Officer |
Nov 1, 2015 | |
| Operational/Managerial Control |
Nov 1, 2015 | ||
| Charles Scharer |
Corporate Director | May 26, 2005 | |
| Kirk Ledbetter |
Corporate Director | Jan 1, 2008 |
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Carson Valley Health |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2000 |
| Carson Valley Health |
Hospital | 5% Or Greater Direct Ownership Interest (100%) | Dec 18, 2008 |
| Barton Memorial Hospital |
Skilled nursing facility | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control Adp of the SNF |
Mar 7, 1997 Apr 4, 1997 Mar 7, 1997 |
| Barton Community Health Center |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) Operational/Managerial Control (100%) |
Aug 1, 2002 Aug 1, 2002 |
| Carson Valley Health Primary Care Topaz Ranch |
Rural health clinic | 5% Or Greater Direct Ownership Interest (100%) | Nov 1, 2000 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040812001357 | CA | Part a Provider - Hospital | 1850293960 | Practice locations: S Lake Tahoe, CA |
| O20040915000806 | CA | Part B Supplier - Clinic/Group Practice | 1850293960 |
Receives reassigned benefits from 118 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: South Lake Tahoe, CA; Twin Bridges, CA; Kirkwood, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | 030000013 | CA | Yes |
Addresses
Primary practice location
2170 South Ave
South Lake Tahoe, CA 96150-7026
Mailing address
PO Box 9578
South Lake Tahoe, CA 96158-9578
Phone (530) 541-3420
Other names
- Barton Memorial Hospital
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://WWW.mettles.com/ | Other | |
| CONNECT URL | https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler | Other | CMS HIH |
Other providers in South Lake Tahoe, CA
- Lisa Barker
- Richard Raymond Barna
- Kimberly Renee Barnes
- Kelly Bartlett
- Barton Ambulatory Clinics
- Barton Healthcare System
- Barton Healthcare System
- Barton Healthcare System
- Barton Healthcare System
- Barton Healthcare System
All providers in South Lake Tahoe, CA · General Acute Care Hospital in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.