Provider Demographics
NPI:1437128741
Name:COUNTY OF STOREY
Entity Type:Organization
Organization Name:COUNTY OF STOREY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-847-0954
Mailing Address - Street 1:PO BOX 603
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89440-0603
Mailing Address - Country:US
Mailing Address - Phone:775-847-0954
Mailing Address - Fax:
Practice Address - Street 1:145 NORTH C STREET
Practice Address - Street 2:
Practice Address - City:VIRGINIA CITY
Practice Address - State:NV
Practice Address - Zip Code:89440
Practice Address - Country:US
Practice Address - Phone:775-847-0954
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-17
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV15132341600000X, 3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003215001Medicaid
NVVRHBBKMedicare PIN