NPIMap

Organization Active NPI

Carson Tahoe Regional Healthcare

  • Urgent Care Clinic/Center
  • Carson City, NV
National Provider Identifier
1730739129
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CARSON TAHOE REGIONAL HEALTHCARE
Practice address
1201 S Carson St
Carson City, NV 89701-5225
Phone
(775) 445-7330
NPI assigned
Sep 17, 2019
Organization subpart
Yes
Parent organization
CARSON TAHOE REGIONAL HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Katie Kucera
Title
Chief Financial Officer
Phone
(775) 445-8672

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1201 S Carson St
Carson City, NV 89701-5225

Mailing address

PO Box 2168
1600 Medical Parkway
Carson City, NV 89702-2168
Phone (775) 445-8672

Other identifiers 3

IdentifierTypeStateIssuer
001213843MedicaidNV
001013843MedicaidNV
001113843MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Carson Tahoe Regional Healt9 organizations share this tax ID, including this one
Part of
Carson Tahoe Regional Healt

Other organizations with this tax ID 8

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1730739129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2168",
            "address_2": "1600 MEDICAL PARKWAY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897022168",
            "telephone_number": "775-445-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015225",
            "telephone_number": "775-445-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON TAHOE REGIONAL HEALTHCARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARSON TAHOE REGIONAL HEALTHCARE",
        "enumeration_date": "2019-09-17",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "KUCERA",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "775-445-8672"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001213843",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001013843",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001113843",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.