NPI 1104181791

Shoshone Paiute Tribes

Organisation Land Ambulance Owyhee, NV

Practice location

Address: 1623 Hospital Loop Road, Owyhee, NV 89832-9800
Phone: (775) 757-2403
Mailing address: PO Box 130, Owyhee, NV 89832-0130

Authorised official

Name: Anthony Marshall
Title: Administrator
Phone: (775) 757-2403

Registered specialties

Land Ambulance Primary

Transportation Services Taxonomy 3416L0300X

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Registry record

NPI: 1104181791
Entity type: Organization
NPI issued: 10 Jul 2012
Record last updated: 10 Jul 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.