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NPI Code Detail

MEDICARE: BARTON HEALTHCARE SYSTEM

MEDICARE: BARTON HEALTHCARE SYSTEM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QA1903XAmbulatory Surgical Clinic/Center1888ASCNV

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1700963725
Entity Type Code : Organization
Provider Name (Legal Business Name) : BARTON HEALTHCARE SYSTEM
Provider Business Mailing Address
First Line : 2170 SOUTH AVE
Second Line :
City : SOUTH LAKE TAHOE
State : CA
Zip : 96150-7026
Country : US
Telephone Number : 530-541-3420
Fax Number : 530-541-8723
Provider Business Practice Location Address
First Line : 212 ELKS POINT RD
Second Line : SUITE 201
City : ZEPHYR COVE
State : NV
Zip : 89448-8001
Country : US
Telephone Number : 775-588-9188
Fax Number : 775-588-4337
Authorized Official
Title or Position : PRESIDENT/CEO
Name : DR. CLINTON D PURVANCE
Credential : MD
Telephone Number : 530-543-5840
Provider Enumeration Date : 11/01/2006
Last Update Date : 08/17/2023

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Directions to “BARTON HEALTHCARE SYSTEM ” Practice Location

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