Organization Active NPI

Moapa Valley Fire Protection District

  • Ambulance
  • Logandale, NV
National Provider Identifier
1891393096
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
Legal business name
MOAPA VALLEY FIRE PROTECTION DISTRICT
Practice address
3570 N. Lyman
Logandale, NV 89021
Phone
(702) 817-3179
NPI assigned
Oct 12, 2020
Last updated
Dec 9, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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

Authorized official

Name
Stephen Neel
Title
Fire Chief
Phone
(702) 817-3179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X Primary

Addresses

Primary practice location

3570 N. Lyman
Logandale, NV 89021

Mailing address

PO Box 578
Logandale, NV 89021-0578
Phone (702) 817-3179

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210111001206 NV Part B Supplier - Ambulance Service Supplier 2668885773 Practice locations: Moapa, NV; Overton, NV; Logandale, NV

National Provider Directory

National Provider Directory

Locations

2190 E Pebble Rd
Ste 100
Las Vegas, NV 89123

NPI Registry JSON

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

{
    "created_epoch": "1602460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607472000000",
    "number": "1891393096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 578",
            "city": "LOGANDALE",
            "state": "NV",
            "postal_code": "890210578",
            "telephone_number": "702-817-3179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3570 N. LYMAN",
            "city": "LOGANDALE",
            "state": "NV",
            "postal_code": "89021",
            "telephone_number": "702-817-3179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOAPA VALLEY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-12",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A",
        "authorized_official_last_name": "NEEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "702-817-3179"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Logandale, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.