Shoshone Paiute Tribes

NPI #1104181791 in Owyhee, Nevada

Provider Information

NPI Number
1104181791
Entity Type
Organization
Organization Name
Shoshone Paiute Tribes
Primary Specialty
Ambulance - Land Transport
Enumeration Date
Jul 10, 2012
Last Updated
Jul 10, 2012

Practice Location

Address
1623 HOSPITAL LOOP ROAD
City
Owyhee
State
Nevada
ZIP Code
89832-9800
Phone
(775) 757-2403

Authorized Official

Name
MR. ANTHONY MARSHALL
Title
ADMINISTRATOR
Phone
(775) 757-2403

Specialties & Taxonomy Codes

Specialty
Ambulance - Land TransportLand Transport

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