Fort McDermitt Paiute Shoshone Tribe

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

FORT MCDERMITT PAIUTE SHOSHONE TRIBE

Doing business as

Fort McDermitt Tribe EMS Rescue

Practice address

112 N Reservation Rd
Ft McDermitt, NV 89421-9804

Phone

(775) 532-8522

NPI assigned

Jan 15, 2021

Last updated

Jan 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Fergus John LaughridgeNPI 1053761692

Title

Compliance Officer

Phone

(208) 250-8665

Specialties & licenses 2

Addresses

Other names 1

• Fort McDermitt Tribe EMS Rescue Doing business as

Electronic endpoints 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Fort McDermitt Wellness Center

  • Clinic/Center
  • McDermitt, NV
  • NPI 1801348024
  NPPES parent name

Practitioners 1

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.

• Fergus John Laughridge Sr., AEMT

  • Intermediate Emergency Medical Technician
  • Winnemucca, NV
  • NPI 1053761692
  NPD Authorized official

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1871182683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 315",
            "city": "FT MCDERMITT",
            "state": "NV",
            "postal_code": "894210315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N RESERVATION RD",
            "city": "FT MCDERMITT",
            "state": "NV",
            "postal_code": "894219804",
            "telephone_number": "775-532-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT MCDERMITT PAIUTE SHOSHONE TRIBE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "LAUGHRIDGE",
        "authorized_official_first_name": "FERGUS",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "208-250-8665",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fergus.laughridge@fmcdwc.org",
            "affiliation": "N",
            "address_1": "112 N Reservation Rd",
            "city": "Ft McDermitt",
            "state": "NV",
            "country_code": "US",
            "postal_code": "894219804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fort McDermitt Tribe EMS Rescue",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.