Active NPI
Tahoe-Douglas Fire Protection District
- Ambulance
- Zephyr Cove, NV
National Provider Identifier
1073684908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- TAHOE-DOUGLAS FIRE PROTECTION DISTRICT
- Practice address
- 193 Elks Point Rd
Zephyr Cove, NV 89448-0919 - Phone
- (775) 586-1573
- NPI assigned
- Nov 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tim Allison
- Title
- Battalion Chief
- Phone
- (775) 586-1573
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
193 Elks Point Rd
Zephyr Cove, NV 89448-0919
Mailing address
PO Box 919
Zephyr Cove, NV 89448-0919
Phone (775) 586-1573
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003203002 | Medicaid | NV | |
| XMTE06490 | Medicaid | CA | |
| CC6113 | Other | CA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090722000669 | NV | Part B Supplier - Ambulance Service Supplier | 5193877181 | Practice locations: Stateline, NV; Zephyr Cove, NV |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D0867907 | Tahoe Douglas Fire Protection District | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1357171200000",
"number": "1073684908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 919",
"city": "ZEPHYR COVE",
"state": "NV",
"postal_code": "894480919",
"telephone_number": "775-586-1573",
"fax_number": "775-588-8270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "193 ELKS POINT RD",
"city": "ZEPHYR COVE",
"state": "NV",
"postal_code": "894480919",
"telephone_number": "775-586-1573"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAHOE-DOUGLAS FIRE PROTECTION DISTRICT",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-13",
"last_updated": "2013-01-03",
"status": "A",
"authorized_official_last_name": "ALLISON",
"authorized_official_first_name": "TIM",
"authorized_official_title_or_position": "BATTALION CHIEF",
"authorized_official_telephone_number": "775-586-1573"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003203002",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XMTE06490",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "CC6113",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Zephyr Cove, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.