Healthcare Provider Details

I. General information

NPI: 1457490278
Provider Name (Legal Business Name): SMITH VALLEY FIRE PROTECTION DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/06/2007
Last Update Date: 10/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HARDIE LN
SMITH NV
89430-9425
US

IV. Provider business mailing address

1 HARDIE LN
SMITH NV
89430-9425
US

V. Phone/Fax

Practice location:
  • Phone: 775-465-2577
  • Fax: 775-465-2255
Mailing address:
  • Phone: 775-465-2577
  • Fax: 775-465-2255

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number11168
License Number StateNV

VIII. Authorized Official

Name: SUMMER WALKER
Title or Position: ADMINISTRATIVE ASSISTANT
Credential:
Phone: 775-465-2577