Provider Demographics
NPI:1518921402
Name:PAHRANAGAT VALLEY VOLUNTEER FIRE DEPARTMENT AMBULANCE RESCUE SERVIC
Entity Type:Organization
Organization Name:PAHRANAGAT VALLEY VOLUNTEER FIRE DEPARTMENT AMBULANCE RESCUE SERVIC
Other - Org Name:PAHRANAGAT VALLEY VOLUNTEER FIRE DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMALLWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-725-3644
Mailing Address - Street 1:PO BOX 540
Mailing Address - Street 2:534 N. HWY 93
Mailing Address - City:ALAMO
Mailing Address - State:NV
Mailing Address - Zip Code:89001-0540
Mailing Address - Country:US
Mailing Address - Phone:775-725-3774
Mailing Address - Fax:
Practice Address - Street 1:655 BOX CANYON ROAD
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:NV
Practice Address - Zip Code:89001-0540
Practice Address - Country:US
Practice Address - Phone:775-725-3644
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-17
Last Update Date:2018-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance