Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tahoe Carson Valley Medical Group, Inc

Organization Durable Medical Equipment & Medical Supplies · NPI 1124334776

Tahoe Carson Valley Medical Group, Inc is a Durable Medical Equipment & Medical Supplies in Stateline, Nevada. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

155 Hwy 50
Stateline, NV 89449-9800
Phone: (775) 589-8900
Fax: (775) 588-7110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X

Record details

NPI number1124334776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Bergner — President · (775) 589-8900
Other names Dme-Stateline Medical Center
NPI enumeratedAugust 20, 2010
Last updated in NPPESSeptember 19, 2012
Mailing address1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207

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