Rocky Mountain Ambulance Service LLC

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

104 Issued in WY

Legal business name

ROCKY MOUNTAIN AMBULANCE SERVICE LLC

Practice address

731 Broadway St
Sheridan, WY 82801-3600

Phone

(307) 673-8303

Fax

(307) 673-7178

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Thomas Edward Goodwin

Title

Owner Operator

Phone

(307) 673-8303

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rocky Mountain Ambulance Doing business as

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568678400000",
    "number": "1659301588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 589",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424315011",
            "telephone_number": "270-824-8123",
            "fax_number": "270-824-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 BROADWAY ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828013600",
            "telephone_number": "307-673-8303",
            "fax_number": "307-673-7178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY MOUNTAIN AMBULANCE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2019-09-17",
        "status": "A",
        "authorized_official_last_name": "GOODWIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "307-673-8303"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WY",
            "license": "104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115242400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rocky Mountain Ambulance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Glen Robinson III
• Irving Robinson, MD
• Mashonda Robinson
• Rodney Kirk Robinson, MA, LAT
• Wendell Jesse Robison
• Rocky Mountain Holdings, LLC
• Jessica Rodriguez, NP
• Kerri Rogers
• Leita Ashley Rolfe
• Regina Romanjenko

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; 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.