Healthcare Provider Details

I. General information

NPI: 1891393096
Provider Name (Legal Business Name): MOAPA VALLEY FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2020
Last Update Date: 12/09/2020
Certification Date: 12/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3570 N. LYMAN
LOGANDALE NV
89021
US

IV. Provider business mailing address

PO BOX 578
LOGANDALE NV
89021-0578
US

V. Phone/Fax

Practice location:
  • Phone: 702-817-3179
  • Fax:
Mailing address:
  • Phone: 702-817-3179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: STEPHEN NEEL
Title or Position: FIRE CHIEF
Credential:
Phone: 702-817-3179