Provider Demographics
NPI:1336290964
Name:CITY OF LAS VEGAS
Entity Type:Organization
Organization Name:CITY OF LAS VEGAS
Other - Org Name:CITY OF LAS VEGAS EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-229-0305
Mailing Address - Street 1:PO BOX 748029
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90074-8029
Mailing Address - Country:US
Mailing Address - Phone:833-446-7102
Mailing Address - Fax:888-972-9641
Practice Address - Street 1:500 N CASINO CENTER BLVD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89101-2944
Practice Address - Country:US
Practice Address - Phone:702-229-0305
Practice Address - Fax:702-464-5748
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2018-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003202150Medicaid
NV590012791Medicare PIN
NVVRKJBBCMedicare PIN