Mountain West Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

05326 Issued in NV

Legal business name

MOUNTAIN WEST INC

Doing business as

Wendover Ambulance

Practice address

427 Mesa
West Wendover, NV 89883-2530

Phone

(775) 664-2081

Fax

(775) 664-2244

NPI assigned

Jun 30, 2005

Last updated

Oct 27, 2011By 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

Mrs. Lauara Ann Snyder

Title

Owner

Phone

(775) 664-2081

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Wendover Ambulance Doing business as

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": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319673600000",
    "number": "1972500445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2530",
            "city": "WEST WENDOVER",
            "state": "NV",
            "postal_code": "898832530",
            "telephone_number": "775-664-2081",
            "fax_number": "775-664-2244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 MESA",
            "city": "WEST WENDOVER",
            "state": "NV",
            "postal_code": "898832530",
            "telephone_number": "775-664-2081",
            "fax_number": "775-664-2244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN WEST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2011-10-27",
        "status": "A",
        "authorized_official_last_name": "SNYDER",
        "authorized_official_first_name": "LAUARA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-664-2081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "UT",
            "license": "2301L",
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NV",
            "license": "05326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3204853",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wendover Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Jacob Densley, PA-C
• John Eckersley, RPH
• Rachel Elizabeth Grant, FNP-C
• Rachel Jackson, RBT
• Breann Marriott
• Nevada Health Centers Inc (Wendover Community Health Center)
• Maria G Ortega
• Lisa Padgett
• Pioneer Medical Supplies LLC
• Prime Medical Supplies LLC

• Land Ambulance in West Wendover, NV
• Providers in West Wendover, NV by specialty
• Land Ambulance in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2011; 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.