Provider Demographics
NPI:1588765127
Name:ELKO COUNTY
Entity type:Organization
Organization Name:ELKO COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:MCHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-748-1650
Mailing Address - Street 1:PO BOX 511954
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90051-1906
Mailing Address - Country:US
Mailing Address - Phone:775-738-5382
Mailing Address - Fax:775-753-8535
Practice Address - Street 1:540 COURT ST STE 101
Practice Address - Street 2:
Practice Address - City:ELKO
Practice Address - State:NV
Practice Address - Zip Code:89801-3515
Practice Address - Country:US
Practice Address - Phone:775-738-5382
Practice Address - Fax:775-753-8535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV051183416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003204851Medicaid
NVVRFBJSMedicare PIN