Organization
COUNTY OF EUREKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNY SANDERS (DIRECTOR/COORDINATOR)
(775) 237-5306
Entity
Organization
Contact information
Practice address
301 N MAIN STREET, EUREKA, NV 89316-1507
(775) 237-7036
(775) 237-7037
Mailing address
PO BOX 407, EUREKA, NV 89316-0407
(800) 811-4045
(775) 237-5614
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
07131
NV
3416L0300X
Land Ambulance
07325
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003206001
—
NV
05
—
1891799342
—
NV
05
—
20099110A
—
OK
05
—
43588824
—
CO
01
—
=========
EUREKA COUNTY VOLUNTEER E
NV
05
—
XMTE06564
—
CA
Enumeration date
06/10/2005
Last updated
08/14/2019
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