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
Organization subpart
No

Authorized official

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

Practitioners 1

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

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

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 4 WY Primary

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 27, 2010.

{
    "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.