Healthcare Provider Details
I. General information
NPI: 1588765127
Provider Name (Legal Business Name): ELKO COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/26/2006
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
540 COURT ST STE 101
ELKO NV
89801-3515
US
IV. Provider business mailing address
PO BOX 511954
LOS ANGELES CA
90051-1906
US
V. Phone/Fax
- Phone: 775-738-5382
- Fax: 775-753-8535
- Phone: 775-738-5382
- Fax: 775-753-8535
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | 05118 |
| License Number State | NV |
VIII. Authorized Official
Name:
CHRISTOPHER
MCHAN
Title or Position: DIRECTOR
Credential:
Phone: 775-748-1650