Provider Demographics
NPI:1063611879
Name:WHITE PINE COUNTY
Entity type:Organization
Organization Name:WHITE PINE COUNTY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:FINANCE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-289-1591
Mailing Address - Street 1:995 CAMPTON ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:ELY
Mailing Address - State:NV
Mailing Address - Zip Code:89301-1987
Mailing Address - Country:US
Mailing Address - Phone:775-289-3271
Mailing Address - Fax:775-289-2405
Practice Address - Street 1:995 CAMPTON ST
Practice Address - Street 2:SUITE 2
Practice Address - City:ELY
Practice Address - State:NV
Practice Address - Zip Code:89301-1987
Practice Address - Country:US
Practice Address - Phone:775-289-3271
Practice Address - Fax:775-289-2405
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHITE PINE COUNTY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV173923416L0300X
NV173573416L0300X
NV173583416L0300X
NV173593416L0300X
NV171273416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV3217394Medicaid
NVV0000RHBBPMedicare PIN