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SLT MEDICAL GROUP INC
NPI 1902435894
Clinic/Center - Rural Health in South Lake Tahoe, CA

Active since April 03, 2020
2024 LAKE TAHOE BLVD, SOUTH LAKE TAHOE, CA 96150(406) 334-7470 Get Directions Write a Review

NPPES record last updated: April 3, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Slt Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SLT MEDICAL GROUP INC (NPI 1902435894) is a healthcare organization registered as a rural health in South Lake Tahoe, California and active in the NPI registry since April 2020. The organization lists Edwin Emmanuel Nebblett, Ceo, as its authorized official.

NPPES Registry Identity

NPI1902435894
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameSLT MEDICAL GROUP INC
Location Address2024 LAKE TAHOE BLVDSouth Lake Tahoe, CA 96150-6498
Mailing AddressPo Box 910Weimar, CA 95736-0910 · (575) 654-5188
Phone(406) 334-7470
Organization SubpartNo
Authorized OfficialEdwin Emmanuel NebblettCeo · (575) 654-5188
Enumeration DateApril 3, 2020
NPPES CertifiedApril 3, 2020
✔ NPI 1902435894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
2024 LAKE TAHOE BLVD, South Lake Tahoe, CA 96150
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Slt Medical Group Inc's NPI number?

The NPI number for Slt Medical Group Inc is 1902435894. It was assigned to this organization in the NPPES registry on April 3, 2020.

Where is Slt Medical Group Inc located?

Slt Medical Group Inc is located at 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150. The listed phone number is (406) 334-7470.

What is Slt Medical Group Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

When was this NPI record last updated?

The NPPES record for Slt Medical Group Inc was last updated on April 3, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.