Provider Demographics
NPI:1457490278
Name:SMITH VALLEY FIRE PROTECTION DISTRICT
Entity Type:Organization
Organization Name:SMITH VALLEY FIRE PROTECTION DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:SUMMER
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-465-2577
Mailing Address - Street 1:1 HARDIE LN
Mailing Address - Street 2:
Mailing Address - City:SMITH
Mailing Address - State:NV
Mailing Address - Zip Code:89430-9425
Mailing Address - Country:US
Mailing Address - Phone:775-465-2577
Mailing Address - Fax:775-465-2255
Practice Address - Street 1:1 HARDIE LN
Practice Address - Street 2:
Practice Address - City:SMITH
Practice Address - State:NV
Practice Address - Zip Code:89430-9425
Practice Address - Country:US
Practice Address - Phone:775-465-2577
Practice Address - Fax:775-465-2255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-06
Last Update Date:2015-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV111683416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003210010Medicaid
V102051Medicare PIN