Boulder City Nevada

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

101 Issued in NV

Legal business name

BOULDER CITY NEVADA

Doing business as

dba Boulder City Fire Department

Practice address

1101 Elm St
Boulder City, NV 89005-2140

Phone

(702) 293-9228

Fax

(702) 293-9221

NPI assigned

Feb 1, 2006

Last updated

Nov 8, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

BOULDER CITY NEVADAAs reported in NPPES

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

Authorized official

Name

Mr. Kevin Nicholson

Title

Fire Chief

Phone

(702) 293-9228

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• dba Boulder City Fire Department Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Locations

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320710400000",
    "number": "1811968357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 ELM ST",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052140",
            "telephone_number": "702-293-9228",
            "fax_number": "702-293-9221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 ELM ST",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052140",
            "telephone_number": "702-293-9228",
            "fax_number": "702-293-9221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOULDER CITY NEVADA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOULDER CITY NEVADA",
        "enumeration_date": "2006-02-01",
        "last_updated": "2011-11-08",
        "status": "A",
        "authorized_official_last_name": "NICHOLSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "702-293-9228",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NV",
            "license": "101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "942616",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003202338",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Boulder City Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Boulder City Hospital Inc
• Boulder City Hospital Inc.
• Boulder City Hospital Inc.
• Boulder City Hospital Inc. (Boulder City Surgical Group)
• Boulder City Massage
• Boulder City NV Opco LLC
• Boulder City Outpatient Surgery Center
• Boulder Counseling Center Inc
• Boulder Foot & Ankle Center, LTD.
• Boulder Primary Care Inc.

• Land Ambulance in Boulder City, NV
• Providers in Boulder City, NV by specialty
• Land Ambulance in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.