Provider Demographics
NPI:1790854800
Name:AMBULANCE SERVICE OF RENO,INC DBA
Entity Type:Organization
Organization Name:AMBULANCE SERVICE OF RENO,INC DBA
Other - Org Name:AME HOME HEALTH CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:A
Authorized Official - Last Name:GILLER
Authorized Official - Suffix:
Authorized Official - Credentials:EMT I
Authorized Official - Phone:775-329-5567
Mailing Address - Street 1:395 S WELLS AVE
Mailing Address - Street 2:PO BOX 2984
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-1611
Mailing Address - Country:US
Mailing Address - Phone:775-329-5567
Mailing Address - Fax:775-329-8123
Practice Address - Street 1:395 S WELLS AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1611
Practice Address - Country:US
Practice Address - Phone:775-329-5567
Practice Address - Fax:775-329-8123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVMP00085332BX2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BX2000XSuppliersDurable Medical Equipment & Medical SuppliesOxygen Equipment & Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV3316005Medicaid
NV3316005Medicaid