Organization Active NPI

Eastern Wyoming Ambulance Service, Inc.

  • Land Ambulance
  • Wheatland, WY
National Provider Identifier
1619974615
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
127 Issued in WY
Legal business name
EASTERN WYOMING AMBULANCE SERVICE, INC.
Practice address
2450 W Mariposa Pkwy
Wheatland, WY 82201-3112
Phone
(307) 322-5424
NPI assigned
Jul 5, 2005
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Authorized official

Name
Wade Wells, NREMT-P
Title
President
Phone
(307) 322-5424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 127 WY Primary

Addresses

Primary practice location

2450 W Mariposa Pkwy
Wheatland, WY 82201-3112

Mailing address

2450 W Mariposa Pkwy
Wheatland, WY 82201-3112
Phone (307) 322-5424

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1619974615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 W MARIPOSA PKWY",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822013112",
            "telephone_number": "307-322-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 W MARIPOSA PKWY",
            "city": "WHEATLAND",
            "state": "WY",
            "postal_code": "822013112",
            "telephone_number": "307-322-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN WYOMING AMBULANCE SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-05",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "WADE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-322-5424",
        "authorized_official_credential": "NREMT-P"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WY",
            "license": "127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheatland, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.