| NPI | 1760038772 |
|---|---|
| Other Name | TAHOE FOREST MSC IM OB RHC |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL BETTS CFO 530-582-6656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |