NPIMap

Organization Active NPI

Walker River Paiute Tribe

Doing business as Walker River EMS

  • Ambulance
  • Schurz, NV
National Provider Identifier
1578855029
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
12370 Issued in NV
Legal business name
WALKER RIVER PAIUTE TRIBE
Doing business as
Walker River EMS
Practice address
1025D Hospital Road
P.O. Box C
Schurz, NV 89427
Phone
(775) 773-2005
Fax
(775) 773-2012
NPI assigned
May 3, 2011
Last updated
Feb 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Authorized official

Name
Andrew B McAuliffe
Title
Health Director
Phone
(775) 773-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 12370 NV Primary

Addresses

Primary practice location

1025D Hospital Road
P.O. Box C
Schurz, NV 89427

Mailing address

1025D Hospital Road
Schurz
Schurz, NV 89427
Phone (775) 773-2005

Other names 2

  • Walker River EMS Doing business as
  • Walker River Tribal Clinic Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240312000299 NV Part B Supplier - Ambulance Service Supplier 9133565203 Practice locations: Schurz, NV

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Walker River Paiute Tribal Clinic4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Walker River Tribal Health ClinicSchurz, NV, CCN 291017 Federally qualified health center Operational/Managerial Control Apr 1, 1992

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1304380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1578855029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025D HOSPITAL ROAD",
            "address_2": "SCHURZ",
            "city": "SCHURZ",
            "state": "NV",
            "postal_code": "89427",
            "telephone_number": "775-773-2005",
            "fax_number": "775-773-2012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025D HOSPITAL ROAD",
            "address_2": "P.O. BOX C",
            "city": "SCHURZ",
            "state": "NV",
            "postal_code": "89427",
            "telephone_number": "775-773-2005",
            "fax_number": "775-773-2012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALKER RIVER PAIUTE TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-03",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "MCAULIFFE",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "775-773-2005"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NV",
            "license": "12370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Walker River EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Walker River Tribal Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Schurz, NV

Sources for this page

Verify at the official NPI Registry.