Healthcare Provider Details

I. General information

NPI: 1518921402
Provider Name (Legal Business Name): PAHRANAGAT VALLEY VOLUNTEER FIRE DEPARTMENT AMBULANCE RESCUE SERVIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2006
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

655 BOX CANYON ROAD
ALAMO NV
89001-0540
US

IV. Provider business mailing address

PO BOX 540
ALAMO NV
89001-0540
US

V. Phone/Fax

Practice location:
  • Phone: 775-725-3644
  • Fax:
Mailing address:
  • Phone: 775-725-3774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: BRITTANY SMALLWOOD
Title or Position: OFFICE MANAGER
Credential:
Phone: 775-725-3644