Organization · Type 2 NPI
Barton Healthcare System
Primary Care Clinic/Center · South Lake Tahoe, CA
NPI number
1154631703
Active · reactivated Apr 19, 2017
Practice location
1090 3rd St, Ste 1
South Lake Tahoe, CA 96150-3485
Fax (530) 542-1619
Mailing address
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | 0300000676 (CA) |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
- Barbara Pidermann, FNPNurse Practitioner South Lake Tahoe, CA NPI 1578529830
- Brooks Martin, MDFamily Medicine Physician South Lake Tahoe, CA NPI 1205834306
- Christine Jo Cifelli, NPNurse Practitioner South Lake Tahoe, CA NPI 1043209059
- Kelly Vial, FNPNurse Practitioner South Lake Tahoe, CA NPI 1447486295
Other primary care clinic/center providers in South Lake Tahoe
About NPI 1154631703
Barton Healthcare System's National Provider Identifier is 1154631703, issued on Oct 18, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Apr 19, 2017.