1679550149 NPI number — FREMONT EMERGENCY SERVICES SCHERR LTD

Table of content: (NPI 1679550149)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1679550149 NPI number — FREMONT EMERGENCY SERVICES SCHERR LTD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FREMONT EMERGENCY SERVICES SCHERR LTD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1679550149
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/01/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 638972
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45263-8972
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
925-924-1600
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9300 W SUNSET RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LAS VEGAS
Provider Business Practice Location Address State Name:
NV
Provider Business Practice Location Address Postal Code:
89148-4844
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
702-880-2800
Provider Business Practice Location Address Fax Number:
702-671-6883
Provider Enumeration Date:
12/27/2005

Additional Information

Authorized Official

Authorized Official Last Name:
DAVIS
Authorized Official First Name:
ASHLIE
Authorized Official Middle Name:
N
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
281-384-0800

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363A00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1679550149 , issued by the state of ( NV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 016996300 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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