CARSON TAHOE REGIONAL HEALTHCARE NPI 1952951352
Clinic/Center (Urgent Care) in Dayton, NV
About CARSON TAHOE REGIONAL HEALTHCARE
Carson Tahoe Regional Healthcare is a provider established in Dayton, Nevada specializing in clinic/center. The NPI number of Carson Tahoe Regional Healthcare is 1952951352 and was assigned on September 2019. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mitchell Watson (Chief Financial Officer)
The CLIA number of Carson Tahoe Regional Healthcare is 29D2016707 registered as a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to Carson Tahoe Regional Healthcare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
| NPI | 1952951352 |
| Provider Name | CARSON TAHOE REGIONAL HEALTHCARE |
| Provider Location Address | 901 MEDICAL CENTER DR DAYTON, NV 89403 |
| Provider Mailing Address | PO BOX 2168 1600 MEDICAL PARKWAY CARSON CITY, NV 89702 |
| NPI Entity Type | Organization |
| Is Sole Proprietor? | N/A |
| Is Organization Subpart? | Yes |
| Enumeration Date | 09-17-2019 |
| Last Update Date | 09-17-2019 |
Primary Taxonomy
| Taxonomy Code | 261QU0200X |
| Classification | Clinic/Center |
| Type | Ambulatory Health Care Facilities |
| Specialization | Urgent Care |
Business Address
CARSON TAHOE REGIONAL HEALTHCARE
901 MEDICAL CENTER DR
DAYTON, NV
ZIP 89403
Phone: (775) 445-7210
Mailing Address
CARSON TAHOE REGIONAL HEALTHCARE
PO BOX 2168
1600 MEDICAL PARKWAY
CARSON CITY, NV
ZIP 89702
Phone: (775) 445-8672
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for the NPI number 1952951352 is:
| CLIA Number | 29D2016707 |
| Facility Type | PHYSICIAN OFFICE |
| Certificate Type | Certificate of Waiver |
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 001113843 | MEDICAID (05) | NV |
| 001013843 | MEDICAID (05) | NV |
| 001213843 | MEDICAID (05) | NV |
Other Providers at the same location
The following 4 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1104000140 | CALIFORNIA ADVANCED IMAGING MEDICAL ASSOCIATES, INC. Organization | Radiology (Diagnostic Radiology) | 901 MEDICAL CENTER DR DAYTON, NV 89403 (775) 246-9001 |
| 1124558853 | DR. STEPHEN FRUGOLI DMD Individual | Dentist (General Practice) | 901 MEDICAL CENTER DR DAYTON, NV 89403 (775) 246-7122 |
| 1235409939 | CARSON TAHOE URGENT CARE Organization | Clinic/Center (Urgent Care) | 901 MEDICAL CENTER DR SUITE 101 DAYTON, NV 89403 (775) 445-7201 |
| 1578893202 | CARSON TAHOE PHYSICIAN CLINICS Organization | Internal Medicine | 901 MEDICAL CENTER DR SUITE 102 DAYTON, NV 89403 (775) 445-7621 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.