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NPI Code Detail

MEDICARE: CARSON TAHOE REGIONAL HEALTHCARE

MEDICARE: CARSON TAHOE REGIONAL HEALTHCARE
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
13336C0003XCommunity/Retail Pharmacy

General Provider Information

NPI Number : 1871441899
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARSON TAHOE REGIONAL HEALTHCARE
Provider Business Mailing Address
First Line : 1600 MEDICAL PKWY
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-4625
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1600 MEDICAL PKWY
Second Line :
City : CARSON CITY
State : NV
Zip : 89703-4625
Country : US
Telephone Number : 806-242-7782
Fax Number :
Authorized Official
Title or Position : CHIEF FINANCIAL OFFICER
Name : KATIE KUCERA
Credential :
Telephone Number : 775-445-5543
Provider Enumeration Date : 03/17/2026
Last Update Date : 03/17/2026

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Directions to “CARSON TAHOE REGIONAL HEALTHCARE ” Practice Location

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