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Tahoe Forest Hospital District

Organization Active NPI Rural Health Clinic/Center · Incline Village, NV

NPI 1790281186 · NPPES record last updated Aug 18, 2026

Key facts

NPI
1790281186
Entity type
Organization (NPI type 2)
Primary specialty
Rural Health Clinic/Center 261QR1300X
Legal business name
TAHOE FOREST HOSPITAL DISTRICT
Practice address
880 Alder Ave
Incline Village, NV 89451-8335
Phone
(775) 883-4100
NPI assigned
Apr 4, 2018
Organization subpart
No

Authorized official

Name
Crystal Felix
Title
Cfo
Phone
(530) 582-6656

Owners & managing parties with NPI records 12

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 10

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

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 9

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 140

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

View all 140

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1033008Tahoe Forest Multispecialty Clinics-Scholnick
880 Alder Ave FL 2, Incline Village, NV 89451		Certificate of waiverNov 1, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NV

Rural health clinic certification: CCN 293992

Legal name
TAHOE FOREST HOSPITAL DISTRICT
Doing business as
TAHOE FOREST MULTISPECIALTY CLINIC-INCLINE VILLAGE
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 2, 2020
Last certification
Jul 2, 2020
Ownership / control type
2B
Organization structure
Other · Non-profit
Enrollment address
880 Alder Ave
FL 2
Incline Village, NV 89451-8335
Related CCNs
291301

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tahoe Forest Hospital District
Organization · Truckee, CA 		5% Or Greater Direct Ownership Interest Jun 1, 2007 100%
Operational/Managerial Control Jun 1, 2007 100%
Jason Dorst
Individual 		Corporate Officer
Chief Information and Innovation		 Sep 1, 2014
Robert J Darzynkiewicz
Individual 		Corporate Director
Board Member		 Dec 6, 2024
Sandra M Walker
Individual 		W-2 Managing Employee
Director of Operations		 Jul 8, 2018
Dale Chamblin
Individual 		Corporate Director
Board Treasurer		 Feb 12, 2013
Kimberly McCarl
Individual 		Corporate Officer
Chief Strategy Officer		 Nov 17, 2025
Mary a Brown
Individual 		Corporate Director
Board Member		 Jun 22, 2017
Louis Ward
Individual 		Corporate Officer Jan 31, 2022
Michael McGarry
Individual 		Corporate Director
Board Member		 Feb 27, 2020
Crystal Felix
Individual 		Corporate Officer
Cfo		 Mar 1, 2004
Alyce Wong
Individual 		Corporate Director
Board Treasurer		 Dec 15, 2016
Anna Roth
Individual 		Corporate Officer Mar 10, 2025

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Incline Village Community Hospital
Incline Village, NV · CCN 291301		 Hospital 5% Or Greater Direct Ownership Interest (100%) Aug 6, 1996
Tahoe Forest Hospital
Truckee, CA · CCN 051328		 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 6, 2013
Tahoe Forest Hospital
Truckee, CA · CCN 05Z328		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Tahoe Forest Hospital SNF
Truckee, CA · CCN 555231		 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Adp of the SNF		 Aug 22, 2012
Aug 22, 2012
Tahoe Forest Home Health Services
Truckee, CA · CCN 057200		 Home health agency 5% Or Greater Direct Ownership Interest Jan 1, 1966
Tahoe Forest Hospice
Truckee, CA · CCN 051732		 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Tahoe Forest Multispecialty Clinic Pediatrics/Primary Care
Truckee, CA · CCN 058707		 Rural health clinic Operational/Managerial Control (100%) Feb 1, 2011
Tahoe Forest Multispecialty Clinics-Im/Card
Truckee, CA · CCN 058713		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 28, 2019
Tahoe Forest Multispecialty Clinic - Im/OB
Truckee, CA · CCN 058724		 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2007

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20191125001912 NV Part a Provider - Rural Health Clinic 0446161335 Practice locations: Incline Village, NV

National Provider Directory

Tax ID family
Tahoe Forest Hosp District (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X Yes

Addresses

Primary practice location

880 Alder Ave
Incline Village, NV 89451-8335

Mailing address

10121 Pine Ave
Truckee, CA 96161-4835

Other names

  • IVCH Family Health Center RHC Doing business as

Other providers in Incline Village, NV

All providers in Incline Village, NV · Rural Health Clinic/Center in Nevada

Sources for this page

Verify at the official NPI Registry.