Organization Active NPI

Converse County Ambulance

  • Land Ambulance
  • Douglas, WY
National Provider Identifier
1033263447
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
CONVERSE COUNTY AMBULANCE
Practice address
107 N 5TH St
Suite 114
Douglas, WY 82633-2423
Phone
(307) 358-2244
Fax
(307) 358-5998
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Andrea L Johnson
Title
Billing Clerk
Phone
(307) 358-2244

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X WY Primary

Addresses

Primary practice location

107 N 5TH St
Suite 114
Douglas, WY 82633-2423

Mailing address

107 N 5TH St
Suite 114
Douglas, WY 82633-2423
Phone (307) 358-2244

National Provider Directory

National Provider Directory
Tax ID family
Converse County Ambulance2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

107 N 5th St
Rm 114
Douglas, WY 82633
Phone (307) 358-2244

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033263447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N 5TH ST",
            "address_2": "SUITE 114",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332423",
            "telephone_number": "307-358-2244",
            "fax_number": "307-358-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N 5TH ST",
            "address_2": "SUITE 114",
            "city": "DOUGLAS",
            "state": "WY",
            "postal_code": "826332423",
            "telephone_number": "307-358-2244",
            "fax_number": "307-358-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONVERSE COUNTY AMBULANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "307-358-2244"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglas, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.