| NPI | 1255835906 |
|---|---|
| Doing Business As | TAHOE FOREST MSC IM/CARD RHC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL BETTS CFO 530-582-6656 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |