Shoshone Paiute Tribes
Organization Active NPI Land Ambulance · Owyhee, NV
NPI 1104181791 · NPPES record last updated Jul 10, 2012
Key facts
- NPI
- 1104181791
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- SHOSHONE PAIUTE TRIBES
- Practice address
- 1623 Hospital Loop Road
Owyhee, NV 89832-9800 - Phone
- (775) 757-2403
- NPI assigned
- Jul 10, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Anthony Marshall
- Title
- Administrator
- Phone
- (775) 757-2403
Other NPIs with the same Medicare PAC ID 1
Corporate family (same tax ID) 3
Practitioners 36
-
Craig Larry Lathen, FNP
-
Lorraine Kay Marshall, LMSW, LADC
-
Steven M Polatis, O.D.
-
Ian L. Greybull, FNP
-
Angela Harrison, DNP
-
Fayyaz Qadir, MD
-
Tina Williams, FNP-BC
-
Deborah J Moreau, FNP
-
Kelly Kathleen Rhodes, M.D.
-
Nicole Ann Christenson, M.D.
-
Lori Lynn Farrens, LCPC
-
Kevin Fluckiger, DPM
-
John Gambino, MD
-
Kyle Matthew Greer, M.D.
-
Brian F Hanley, M.D.
-
John Phillip Irey, DDS
-
Lue Dee Jackson Jr., DMD, MD
-
Rita Marie Lopez, APRN
-
Amber Loya, NP
-
Olaf R Lukowski, DDS
-
Kevin Joseph Lundell, FNP-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130321000131 | TX | Part B Supplier - Ambulance Service Supplier | 5092871889 | Practice locations: Owyhee, NV |
National Provider Directory
- Tax ID family
- Owyhee Community Health Care Facility
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
1623 Hospital Loop Road
Owyhee, NV 89832-9800
Mailing address
PO Box 130
Owyhee, NV 89832-0130
Phone (775) 757-2403
Other names
- Owyhee Ambulance
Other providers in Owyhee, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.