Provider Demographics
NPI:1518322809
Name:DESERT NET LLC
Entity Type:Organization
Organization Name:DESERT NET LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:POWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-237-1631
Mailing Address - Street 1:PO BOX 3558
Mailing Address - Street 2:8219 FOX AVE
Mailing Address - City:PAHRUMP
Mailing Address - State:NV
Mailing Address - Zip Code:89041-3558
Mailing Address - Country:US
Mailing Address - Phone:702-237-1631
Mailing Address - Fax:866-466-1784
Practice Address - Street 1:8219 FOX AVE
Practice Address - Street 2:
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89061-8840
Practice Address - Country:US
Practice Address - Phone:702-237-1631
Practice Address - Fax:866-466-1784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVNV20131195534343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1972875375OtherINDIVIDUAL