Healthcare Provider Details

I. General information

NPI: 1285936351
Provider Name (Legal Business Name): USPHS, INDIAN HEALTH SERVICE, SCHURZ
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/23/2010
Last Update Date: 12/02/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 OLIVARRIA STREET
MCDERMITT NV
89421
US

IV. Provider business mailing address

1025 HOSPITAL ROAD DRAWER A
SCHURZ NV
89427-0500
US

V. Phone/Fax

Practice location:
  • Phone: 775-532-8530
  • Fax: 775-532-8531
Mailing address:
  • Phone: 775-773-2345
  • Fax: 775-773-2425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number08410
License Number StateNV

VIII. Authorized Official

Name: MR. ANDREW MCAULIFFE
Title or Position: ACTING CEO
Credential:
Phone: 775-773-2345