MEDICARE: CITY OF NORTH LAS VEGAS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance
2	3416L0300X	Land Ambulance		NV

General Provider Information

NPI Number	:	1962608943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CITY OF NORTH LAS VEGAS

Provider Business Mailing Address
First Line	:	PO BOX 843544
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90084-3544
Country	:	US
Telephone Number	:	702-633-1109
Fax Number	:	702-399-8730

Provider Business Practice Location Address
First Line	:	4040 LOSEE RD
Second Line	:
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89030
Country	:	US
Telephone Number	:	702-633-1103
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	FRANK LEROY SIMONE
Credential	:
Telephone Number	:	702-633-1109

Provider Enumeration Date	:	06/26/2007
Last Update Date	:	11/21/2025

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