Provider Demographics
NPI:1780364836
Name:CITY OF SPARKS
Entity type:Organization
Organization Name:CITY OF SPARKS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIVISION CHIEF EMS
Authorized Official - Prefix:
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-843-6099
Mailing Address - Street 1:431 PRATER WAY
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:NV
Mailing Address - Zip Code:89431-4598
Mailing Address - Country:US
Mailing Address - Phone:775-353-2255
Mailing Address - Fax:
Practice Address - Street 1:1605 VICTORIAN AVE
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-4895
Practice Address - Country:US
Practice Address - Phone:775-353-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-24
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport