Organization
FORT MCDERMITT PAIUTE SHOSHONE TRIBE
Active
Other names
Fort McDermitt Tribe EMS Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FERGUS JOHN LAUGHRIDGE (COMPLIANCE OFFICER)
(208) 250-8665
Entity
Organization
Contact information
Practice address
112 N RESERVATION RD, FT MCDERMITT, NV 89421-9804
(775) 532-8522
Mailing address
PO BOX 315, FT MCDERMITT, NV 89421-0315
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
3416L0300X
Land Ambulance
—
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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