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DSH290019L CARSON TAHOE REGIONAL HEALTHCARE (Active)
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Main Details
Name
CARSON TAHOE REGIONAL HEALTHCARE
Subdivision Name
CARSON TAHOE REGIONAL HEALTHCARE - Minden Emergent Care & OP Services imaging
Type
Disproportionate Share Hospital
Rural
No
340B ID
DSH290019L
Medicare Provider Number
290019
Outpatient Facility Provider Number
Additional Details
Current Program Status
Active
Registration Date
8/15/2024
Participating Start Date
10/1/2024
Participating Approval Date
9/3/2024
Last Recertification Date
Contacts
Authorizing Official
Carson Tahoe Regional Health
Katie Kucera, Chief Financial Officer
(775) 445-8000 Ext: 5543
Primary Contact
Carson Tahoe Regional Health
Andrew P. Batiza, 340B Coordinator
(775) 445-8653
Addresses
Street Address
925 Ironwood DRIVE
Minden, NV 89423
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Parent/Child
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June 2025
June 2025
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