Provider Demographics
NPI:1881007037
Name:PYRAMID LAKE PAIUTE TRIBE
Entity Type:Organization
Organization Name:PYRAMID LAKE PAIUTE TRIBE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMERGENCY RESPONSE COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:PELT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-560-4417
Mailing Address - Street 1:PO BOX 227
Mailing Address - Street 2:
Mailing Address - City:NIXON
Mailing Address - State:NV
Mailing Address - Zip Code:89424-0227
Mailing Address - Country:US
Mailing Address - Phone:775-574-1018
Mailing Address - Fax:775-574-1114
Practice Address - Street 1:104 STATE ROUTE 447
Practice Address - Street 2:
Practice Address - City:NIXON
Practice Address - State:NV
Practice Address - Zip Code:89424
Practice Address - Country:US
Practice Address - Phone:775-574-1000
Practice Address - Fax:775-574-1008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport