Town of Lusk

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

54 Issued in WY

Legal business name

TOWN OF LUSK

Practice address

201 E. Third St.
Lusk, WY 82225-0390

Phone

(307) 334-3612

Fax

(307) 334-2154

NPI assigned

Feb 13, 2007

Last updated

Aug 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Meier, CPC

Title

Billing Manager

Phone

(307) 674-5123

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lusk Ambulance Service Other name

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282867200000",
    "number": "1588706675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "LUSK",
            "state": "WY",
            "postal_code": "822250390",
            "telephone_number": "307-334-3612",
            "fax_number": "307-334-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E. THIRD ST.",
            "city": "LUSK",
            "state": "WY",
            "postal_code": "822250390",
            "telephone_number": "307-334-3612",
            "fax_number": "307-334-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF LUSK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2010-08-27",
        "status": "A",
        "authorized_official_last_name": "MEIER",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "307-674-5123",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WY",
            "license": "54",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107208100",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lusk Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Kelsie Tee Young, LPC-1975

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

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