Central Lyon County Fire Protection District

Primary specialty

AmbulanceTaxonomy code 341600000X

Legal business name

CENTRAL LYON COUNTY FIRE PROTECTION DISTRICT

Practice address

231 Corral Dr
Dayton, NV 89403-7341

Phone

(775) 246-6209

Fax

(775) 246-6204

NPI assigned

Nov 1, 2006

Organization subpart

No

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

Authorized official

Name

Mr. John Gillenwater

Title

Fire Chief

Phone

(775) 246-6209

Specialties & licenses 1

Addresses

Other identifiers 2

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": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376006400000",
    "number": "1912084658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 912024",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802912024",
            "telephone_number": "303-336-3167",
            "fax_number": "303-336-3160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CORRAL DR",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894037341",
            "telephone_number": "775-246-6209",
            "fax_number": "775-246-6204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL LYON COUNTY FIRE PROTECTION DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-08-09",
        "status": "A",
        "authorized_official_last_name": "GILLENWATER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "775-246-6209",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CC6300",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003210805",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucrecia Carrillo, CASE MANAGER
• Carson Tahoe Physician Clinics
• Carson Tahoe Regional Healthcare
• Carson Tahoe Urgent Care
• Ellen Caton
• Central Lyon Youth Connections
• Patricia Ann Chambers, RN
• Brittnee Chappell
• Tina Charnett
• Annika Stasa Chryssos, PA STUDENT

• Ambulance in Dayton, NV
• Providers in Dayton, NV by specialty
• Ambulance in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; 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.