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Carson Tahoe Physician Clinics

Organization Active NPI Family Medicine Physician · Carson City, NV

NPI 1679853089 · NPPES record last updated Aug 17, 2011

Key facts

NPI
1679853089
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
Legal business name
CARSON TAHOE PHYSICIAN CLINICS
Practice address
1200 Moutain Street
Suite 220
Carson City, NV 89703
Phone
(775) 883-6888
Fax
(775) 883-4915
NPI assigned
Aug 17, 2011
Organization subpart
Yes
Parent organization (as reported)
CARSON TAHOE PHYSICIAN CLINICS

Authorized official

Name
James M Hiney
Title
Director
Phone
(775) 445-7291

Corporate family (same tax ID) 13

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

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

Locations

1200 Mountain St
Ste 220
Carson City, NV 89703
Phone (775) 883-6888

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207Q00000X Yes

Addresses

Primary practice location

1200 Moutain Street
Suite 220
Carson City, NV 89703

Mailing address

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

Other providers in Carson City, NV

All providers in Carson City, NV · Family Medicine Physician in Nevada

Sources for this page

Verify at the official NPI Registry.