Organization Active NPI

Nye County

Doing business as Nye County Ambulance

  • Land Ambulance
  • Tonopah, NV
National Provider Identifier
1487718383
Registry record updated Aug 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
13142 Issued in NV
Legal business name
NYE COUNTY
Doing business as
Nye County Ambulance
Practice address
1114 Globemallow LN
Ste 2
Tonopah, NV 89049
Phone
(775) 482-7309
Fax
(775) 482-7203
NPI assigned
Dec 22, 2006
Last updated
Aug 4, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
NYE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 4, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Brent Allen Jones
Title
Director Emergency Management
Phone
(775) 751-4278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 13142 NV Primary

Addresses

Primary practice location

1114 Globemallow LN
Ste 2
Tonopah, NV 89049

Mailing address

PO Box 868
Tonopah, NV 89049-0868
Phone (775) 482-7309

Other names 1

  • Nye County Ambulance Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080529000046 NV Part B Supplier - Ambulance Service Supplier 1850461237 Practice locations: Amargosa Valley, NV; Beatty, NV; Gabbs, NV; Round Mountain, NV; Tonopah, NV

National Provider Directory

National Provider Directory
Part of
Nye County

Locations

851 E Amargosa Farm Rd
Amargosa Valley, NV 89020
Phone (775) 372-5656

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312416000000",
    "number": "1487718383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 868",
            "city": "TONOPAH",
            "state": "NV",
            "postal_code": "890490868",
            "telephone_number": "775-482-7309",
            "fax_number": "775-482-7203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 GLOBEMALLOW LN",
            "address_2": "STE 2",
            "city": "TONOPAH",
            "state": "NV",
            "postal_code": "89049",
            "telephone_number": "775-482-7309",
            "fax_number": "775-482-7203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NYE COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NYE COUNTY",
        "enumeration_date": "2006-12-22",
        "last_updated": "2011-08-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "DIRECTOR EMERGENCY MANAGEMENT",
        "authorized_official_telephone_number": "775-751-4278",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NV",
            "license": "13142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nye County Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tonopah, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.