County of Teton

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

113 Issued in WY

Legal business name

COUNTY OF TETON

Practice address

40 E Pearl Ave
Jackson, WY 83001

Phone

(402) 572-4019

Fax

(402) 965-8594

NPI assigned

Mar 9, 2007

Organization subpart

Yes

Parent organization

COUNTY OF TETONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Brian Allen Carr

Title

Chief

Phone

(307) 733-4732

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Jackson Hole Fire EMS Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• County of Teton

  • Public Health or Welfare Agency
  • Jackson, WY
  • NPI 1952334393

  7618957614

  Same PAC ID

Tax ID family

County of Teton2 organizations share this tax ID, including this one

Part of

County of Teton

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• County of Teton

  • Public Health or Welfare Agency
  • Jackson, WY
  • NPI 1952334393
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• County of Teton

  • Public Health or Welfare Agency
  • Jackson, WY
  • NPI 1952334393
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis John Riddell, M.D.

  • Pediatrics Physician
  • Jackson, WY
  • NPI 1720255128
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1003947953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 901",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830010901",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E PEARL AVE",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "83001",
            "telephone_number": "402-572-4019",
            "fax_number": "402-965-8594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF TETON",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF TETON",
        "enumeration_date": "2007-03-09",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIEF",
        "authorized_official_telephone_number": "307-733-4732"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WY",
            "license": "113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "10149",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120151400",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "806877000",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER NUMBE",
            "identifier": "1003947953",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jackson Hole Fire EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sadie H Cole, PH.D.
• Laura A Collebrusco, PT
• Community Entry Services
• Thomas D Concannon, LMFT
• Laura Beth Cooper, MD
• County of Teton
• Blythe Elizabeth Cox, PA C
• Craig Family Dental, LLC
• Curtis E Cretal, MAC
• Duwayne John Crook, OTR

• Land Ambulance in Jackson, WY
• Providers in Jackson, WY by specialty
• Land Ambulance in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.