Organization Name: | BARTON HEALTHCARE SYSTEM |
NPI Number: | 1083678791 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RICHARD P DERBY (CFO) |
Mailing Address: | 2092 Lake Tahoe Blvd Ste 500 South Lake Tahoe |
State: | CA US |
Postal Code: | 96150 |
Phone Number: | 5305435581 |
Fax Number: | 5305412653 |
NPI Enumeration Date: | 04/12/2006 |
NPI Last Update Date: | 06/05/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 1863HPC13 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NV |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |