NPIMap

Carson Tahoe Physician Clinics

Organization Active NPI Clinic/Center · Carson City, NV

NPI 1447568787 · NPPES record last updated Oct 18, 2011

Key facts

NPI
1447568787
Entity type
Organization (NPI type 2)
Primary specialty
Clinic/Center 261Q00000X
Legal business name
CARSON TAHOE PHYSICIAN CLINICS
Practice address
3770 US Hwy 395 So
Carson City, NV 89705-6898
Phone
(775) 445-7220
Fax
(775) 445-7271
NPI assigned
Sep 21, 2010
Organization subpart
Yes
Parent organization (as reported)
CARSON TAHOE PHYSICIAN CLINICS

Authorized official

Name
James M Hiney
Title
Director
Phone
(775) 445-7290

Corporate family (same tax ID) 13

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Carson Tahoe Physician Clinics (14 organizations share this tax ID)
Part of
Carson Tahoe Physician Clinics

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Yes
Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP		 363L00000X APN00519 NV

Addresses

Primary practice location

3770 US Hwy 395 So
Carson City, NV 89705-6898

Mailing address

1201 S. Carson Street
Carson City, NV 89701
Phone (775) 445-7337

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 18, 2011.

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318896000000",
    "number": "1447568787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 S. CARSON STREET",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89701",
            "telephone_number": "775-445-7337",
            "fax_number": "775-841-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3770 US HWY 395 SO",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897056898",
            "telephone_number": "775-445-7220",
            "fax_number": "775-445-7271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON TAHOE PHYSICIAN CLINICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARSON TAHOE PHYSICIAN  CLINICS",
        "enumeration_date": "2010-09-21",
        "last_updated": "2011-10-18",
        "status": "A",
        "authorized_official_last_name": "HINEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "775-445-7290"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APN00519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

All providers in Carson City, NV · Clinic/Center in Nevada

Sources for this page

Verify at the official NPI Registry.