Provider Demographics
NPI:1437210978
Name:TOWN OF PAHRUMP
Entity Type:Organization
Organization Name:TOWN OF PAHRUMP
Other - Org Name:PAHRUMP VALLEY FIRE RESCUE SERVICE
Other - Org Type:Other Name
Authorized Official - Title/Position:COLLECTION SPECALIST
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:RAETZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-751-4000
Mailing Address - Street 1:300 N HIGHWAY 160
Mailing Address - Street 2:
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89060-4015
Mailing Address - Country:US
Mailing Address - Phone:775-751-4000
Mailing Address - Fax:775-727-7896
Practice Address - Street 1:300 N HIGHWAY 160
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89060-4015
Practice Address - Country:US
Practice Address - Phone:775-751-4000
Practice Address - Fax:775-727-7896
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13422341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV31816Medicare ID - Type UnspecifiedMEDICARE PROVIDER #