Healthcare Provider Details

I. General information

NPI: 1225974645
Provider Name (Legal Business Name): TAHOE FOREST HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3190 FABIAN WAY
TAHOE CITY CA
96145-2032
US

IV. Provider business mailing address

PO BOX 759
TRUCKEE CA
96160-0759
US

V. Phone/Fax

Practice location:
  • Phone: 530-581-8864
  • Fax: 530-582-8248
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL FELIX
Title or Position: CFO
Credential:
Phone: 530-582-6656