Provider Demographics
NPI:1841257391
Name:REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
Entity type:Organization
Organization Name:REGIONAL EMERGENCY MEDICAL SERVICES AUTHORITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR BUSINESS SERVICES MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:DYANA
Authorized Official - Middle Name:
Authorized Official - Last Name:SELBY-DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-858-5700
Mailing Address - Street 1:450 EDISON WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-4117
Mailing Address - Country:US
Mailing Address - Phone:775-858-5700
Mailing Address - Fax:775-858-5731
Practice Address - Street 1:450 EDISON WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-4117
Practice Address - Country:US
Practice Address - Phone:775-858-5700
Practice Address - Fax:775-858-5731
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-27
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
3416A0800X
NV14967/B0501125341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
No3416A0800XTransportation ServicesAmbulanceAir Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV003216255Medicaid
NVVRCBBJMedicare ID - Type Unspecified