NPIMap

Organization Active NPI

Tahoe Forest Hospital District

Doing business as Incline Village Community Hospital

  • Critical Access Hospital
  • Incline Village, NV
National Provider Identifier
1801957667
Registry record updated Aug 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
646HOS-12 Issued in NV
Legal business name
TAHOE FOREST HOSPITAL DISTRICT
Doing business as
Incline Village Community Hospital
Practice address
880 Alder Ave
Incline Village, NV 89451-8215
Phone
(775) 832-3810
Fax
(775) 832-3800
NPI assigned
Dec 13, 2006
Last updated
Aug 18, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2026

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 646HOS-12 NV Primary

Addresses

Primary practice location

880 Alder Ave
Incline Village, NV 89451-8215

Mailing address

10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 582-3550

Other names 1

  • INCLINE VILLAGE COMMUNITY HOSPITAL Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040821000218 NV Part A Provider - Critical Access Hospital 0446161335 Receives reassigned benefits from 44 practitioners
Practice locations: Incline Village, NV

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1801957667. Details of each certification follow.

Hospital certification: CCN 291301

Legal name
TAHOE FOREST HOSPITAL DISTRICT
Doing business as
INCLINE VILLAGE COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Dec 1, 2000
Last certification
Apr 26, 2023
Beds
8
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
880 Alder Ave
Incline Village, NV 89451-8335
Other Hospital Practice Location

Hospital certification: CCN 290038

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
INCLINE VILLAGE COMMUNITY HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Dec 1, 2000
Provider type (POS)
Hospital – Short-term
Participating since
Feb 28, 1994
Last certification
Feb 24, 1994
Beds
8
Ownership / control type
Private (not for profit)
Most recent change of ownership
Aug 16, 1996 (3 total)
Facility address
880 Alder St
Incline Village, NV 89451

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

Other NPIs with the same Medicare PAC ID 11

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Incline Village Community HospitalCCN 291301 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0886640Incline Village Community Hospital Lab880 Alder Ave, Incline Village, NV 89451AccreditationOct 9, 2026

National Provider Directory

National Provider Directory
Tax ID family
Tahow Forest Hosp District11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Member organizations 2

Organizations listed as members of this organization in the National Provider Directory.

Locations

880 Alder Ave
Fl Second
Incline Vlg, NV 89451
Phone (775) 831-5308

Ownership & related parties

All disclosed owners & managing parties 8

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, Incline Village, NV 5% Or Greater Direct Ownership Interest Aug 6, 1996 100%
Dale Chamblin Individual Corporate OfficerBoard Member Feb 15, 2013
Corporate DirectorBoard Member Feb 15, 2013
Robert Earl Barnett Individual Corporate DirectorBoard Member Oct 1, 2021
Mary a Brown Individual Corporate OfficerBoard Member Jun 22, 2017
Corporate DirectorBoard Member Jun 22, 2017
Louis Ward Individual Corporate OfficerInterim Ceo Jun 27, 2024
W-2 Managing EmployeeInterim Ceo Jun 27, 2024
Michael McGarry Individual Corporate DirectorBoard Member Feb 27, 2020
Crystal Felix Individual Corporate OfficerCfo Jul 9, 2013
Alyce Wong Individual Corporate OfficerBoard Member Dec 15, 2016
Corporate DirectorBoard Member Dec 15, 2016

Owners & managing parties with NPI records 11

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

All facility ownership & control disclosures 9

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

FacilityTypeRoleSince
Tahoe Forest HospitalTruckee, CA, CCN 051328 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 6, 2013
Tahoe Forest HospitalTruckee, CA, CCN 05Z328 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Tahoe Forest Hospital SNFTruckee, 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 ServicesTruckee, CA, CCN 057200 Home health agency 5% Or Greater Direct Ownership Interest Jan 1, 1966
Tahoe Forest HospiceTruckee, CA, CCN 051732 Hospice 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966
Tahoe Forest Multispecialty Clinic Pediatrics/Primary CareTruckee, CA, CCN 058707 Rural health clinic Operational/Managerial Control (100%) Feb 1, 2011
Tahoe Forest Multispecialty Clinics-Im/CardTruckee, CA, CCN 058713 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Aug 28, 2019
Tahoe Forest Multispecialty Clinic-Incline VillageIncline Village, NV, CCN 293992 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control (100%)		 Jun 1, 2007
Jun 1, 2007
Tahoe Forest Multispecialty Clinic - Im/OBTruckee, CA, CCN 058724 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 1, 2007

Owned or controlled facilities with NPI records 9

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

Facilities with the same owner 9

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

Practitioners & affiliated clinicians

Practitioners 50

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 50

Affiliated clinicians 107

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 107

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787011200000",
    "number": "1801957667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614835",
            "telephone_number": "530-582-3550",
            "fax_number": "530-582-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 ALDER AVE",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894518215",
            "telephone_number": "775-832-3810",
            "fax_number": "775-832-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE FOREST HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A",
        "authorized_official_last_name": "FELIX",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-582-6656"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "NV",
            "license": "646HOS-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INCLINE VILLAGE COMMUNITY HOSPITAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Incline Village, NV

Sources for this page

Verify at the official NPI Registry.