Organization Active NPI

Mason Valley Fire and Ambulance

  • Land Ambulance
  • Yerington, NV
National Provider Identifier
1912907528
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
11103 Issued in NV
Legal business name
MASON VALLEY FIRE AND AMBULANCE
Practice address
118 S Main St
Yerington, NV 89447-2584
Phone
(775) 463-2261
Fax
(775) 463-6537
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Steve Tognoli
Title
District Chief
Phone
(775) 463-2261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 11103 NV Primary

Addresses

Primary practice location

118 S Main St
Yerington, NV 89447-2584

Mailing address

118 S Main St
Yerington, NV 89447-2584
Phone (775) 463-2261

Other identifiers 1

IdentifierTypeStateIssuer
3210800MedicaidNV

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120319000625 NV Part B Supplier - Ambulance Service Supplier 7719147321 Practice locations: Yerington, NV

National Provider Directory

National Provider Directory

Locations

118 S Main St
Yerington, NV 89447
Phone (775) 463-2261

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912907528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 S MAIN ST",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472584",
            "telephone_number": "775-463-2261",
            "fax_number": "775-463-6537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 S MAIN ST",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472584",
            "telephone_number": "775-463-2261",
            "fax_number": "775-463-6537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON VALLEY FIRE AND AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOGNOLI",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "DISTRICT CHIEF",
        "authorized_official_telephone_number": "775-463-2261"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NV",
            "license": "11103",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3210800",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yerington, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.