Organization
CENTRAL LYON COUNTY FIRE PROTECTION DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN GILLENWATER (FIRE CHIEF)
(775) 246-6209
Entity
Organization
Contact information
Practice address
231 CORRAL DR, DAYTON, NV 89403-7341
(775) 246-6209
(775) 246-6204
Mailing address
DEPT 912024, DENVER, CO 80291-2024
(303) 336-3167
(303) 336-3160
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003210805
—
NV
01
—
CC6300
BCBS
NV
Enumeration date
11/01/2006
Last updated
08/09/2013
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