County of Eureka

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

07131 Issued in NV

Legal business name

COUNTY OF EUREKA

Practice address

301 N Main Street
Eureka, NV 89316-1507

Phone

(775) 237-7036

Fax

(775) 237-7037

NPI assigned

Jun 10, 2005

Organization subpart

No

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

Authorized official

Name

Kenny Sanders

Title

Director/Coordinator

Phone

(775) 237-5306

Specialties & licenses 2

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1891799342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "EUREKA",
            "state": "NV",
            "postal_code": "893160407",
            "telephone_number": "800-811-4045",
            "fax_number": "775-237-5614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N MAIN STREET",
            "city": "EUREKA",
            "state": "NV",
            "postal_code": "893161507",
            "telephone_number": "775-237-7036",
            "fax_number": "775-237-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF EUREKA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR/COORDINATOR",
        "authorized_official_telephone_number": "775-237-5306"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NV",
            "license": "07131",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NV",
            "license": "07325",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891799342",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43588824",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20099110A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XMTE06564",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003206001",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EUREKA COUNTY VOLUNTEER E",
            "identifier": "=========",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Economy Drug, Inc.
• Katie Eileen Gibbs, DPT
• Duane Duke Gibson, PA-C
• Carmen Gustin, RN
• Steven Bryant Hooper, DDS

• Land Ambulance in Eureka, NV
• Providers in Eureka, NV by specialty
• Land Ambulance in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.