Active NPI
Ten Sleep Ambulance Service
- Land Ambulance
- Ten Sleep, WY
National Provider Identifier
1306037817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Land Ambulance
- License
- 76
- Legal business name
- TEN SLEEP AMBULANCE SERVICE
- Practice address
- 415 5TH Street
Ten Sleep, WY 82442-0005 - Phone
- (307) 366-2265
- Fax
- (307) 366-2228
- NPI assigned
- Aug 8, 2007
- Last updated
- Aug 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gard Derek Ferguson, EMT-I
- Title
- Director
- Phone
- (307) 431-5148
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | 76 | WY | Primary |
Addresses
Primary practice location
415 5TH Street
Ten Sleep, WY 82442-0005
Mailing address
PO Box 5
Ten Sleep, WY 82442-0005
Phone (307) 366-2265
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1186531200000",
"number": "1306037817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5",
"city": "TEN SLEEP",
"state": "WY",
"postal_code": "824420005",
"telephone_number": "307-366-2265",
"fax_number": "307-366-2228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "415 5TH STREET",
"city": "TEN SLEEP",
"state": "WY",
"postal_code": "824420005",
"telephone_number": "307-366-2265",
"fax_number": "307-366-2228"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEN SLEEP AMBULANCE SERVICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A",
"authorized_official_last_name": "FERGUSON",
"authorized_official_first_name": "GARD",
"authorized_official_middle_name": "DEREK",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "307-431-5148",
"authorized_official_credential": "EMT-I"
},
"taxonomies": [
{
"code": "3416L0300X",
"taxonomy_group": "",
"desc": "Ambulance, Land Transport",
"state": "WY",
"license": "76",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ten Sleep, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.