Organization Active NPI

Little Snake River Emergency Medical Services

  • Ambulance
  • Baggs, WY
National Provider Identifier
1104136365
Registry record updated Dec 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
AmbulanceTaxonomy code 341600000X
License
4 Issued in WY
Legal business name
LITTLE SNAKE RIVER EMERGENCY MEDICAL SERVICES
Practice address
305 Whippoorwill Drive
PO B 307
Baggs, WY 82321-0307
Phone
(307) 383-7000
Fax
(307) 383-7005
NPI assigned
Oct 20, 2010
Last updated
Dec 27, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2010

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

Authorized official

Name
Rhonda Herold
Title
Director
Phone
(307) 383-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 4 WY Primary

Addresses

Primary practice location

305 Whippoorwill Drive
PO B 307
Baggs, WY 82321-0307

Mailing address

305 Whippoorwill Drive
P O B 307
Baggs, WY 82321-0307
Phone (307) 383-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110224000053 WY Part B Supplier - Ambulance Service Supplier 4587845581 Practice locations: Baggs, WY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293408000000",
    "number": "1104136365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 WHIPPOORWILL DRIVE",
            "address_2": "P O B 307",
            "city": "BAGGS",
            "state": "WY",
            "postal_code": "823210307",
            "telephone_number": "307-383-7000",
            "fax_number": "307-383-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 WHIPPOORWILL DRIVE",
            "address_2": "PO B 307",
            "city": "BAGGS",
            "state": "WY",
            "postal_code": "823210307",
            "telephone_number": "307-383-7000",
            "fax_number": "307-383-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SNAKE RIVER EMERGENCY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-12-27",
        "status": "A",
        "authorized_official_last_name": "HEROLD",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-383-7000"
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "WY",
            "license": "4",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baggs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2010; 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.