South Central Wyoming EMS Joint

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

142 Issued in WY

Legal business name

SOUTH CENTRAL WYOMING EMS JOINT

Practice address

1402 South River St
#1192
Saratoga, WY 82331-1192

Phone

(307) 326-5052

Fax

(307) 326-5052

NPI assigned

Jun 3, 2009

Organization subpart

No

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

Authorized official

Name

Stayton Mosbey

Title

Director

Phone

(307) 710-7559

Specialties & licenses 2

Addresses

Other names 1

• SOUTH CENTRAL WY EMS Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1243987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704758400000",
    "number": "1124254271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1192",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "823311192",
            "telephone_number": "307-710-7559",
            "fax_number": "307-326-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 SOUTH RIVER ST",
            "address_2": "#1192",
            "city": "SARATOGA",
            "state": "WY",
            "postal_code": "823311192",
            "telephone_number": "307-326-5052",
            "fax_number": "307-326-5052"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "WYOMING HWY 72 MP 15.5",
            "address_purpose": "LOCATION",
            "city": "ELK MOUNTAIN",
            "state": "WY",
            "postal_code": "823240015",
            "country_code": "US",
            "telephone_number": "307-348-7367",
            "fax_number": "307-348-7367",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH CENTRAL WYOMING EMS JOINT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-03",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A",
        "authorized_official_last_name": "MOSBEY",
        "authorized_official_first_name": "STAYTON",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-710-7559"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WY",
            "license": "142",
            "primary": true
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WY",
            "license": "143",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://wyoming.imagetrendelite.com/elite/organizationwyoming/",
            "affiliation": "N",
            "address_1": "1402 South River St",
            "address_2": "#1192",
            "city": "Saratoga",
            "state": "WY",
            "country_code": "US",
            "postal_code": "823311192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SOUTH CENTRAL WY EMS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SOUTH CENTRAL WY EMS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.