| Organization Name: | BARTON HEALTHCARE SYSTEM |
| NPI Number: | 1003867565 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD P DERBY (CFO) |
| Mailing Address: | 2170 South Avenue South Lake Tahoe |
| State: | CA US |
| Postal Code: | 96150 |
| Phone Number: | 5305413420 |
| Fax Number: | 5305412512 |
| NPI Enumeration Date: | 05/12/2006 |
| NPI Last Update Date: | 06/05/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA1903X |
| License Number: | 030000013 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Ambulatory Surgical |
| Taxonomy Definition: | |