Active NPI
Town of Moorcroft
- Ambulance
- Moorcroft, WY
National Provider Identifier
1750407599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- License
- 59
- Legal business name
- TOWN OF MOORCROFT
- Practice address
- 104 N. Big Horn Ave.
Moorcroft, WY 82721 - Phone
- (307) 756-3526
- Fax
- (307) 756-3323
- NPI assigned
- Mar 22, 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
- Cheryl Schneider
- Title
- Clerk/Treasurer
- Phone
- (307) 756-3526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | 59 | WY | Primary |
Addresses
Primary practice location
104 N. Big Horn Ave.
Moorcroft, WY 82721
Mailing address
PO Box 70
104 N. Big Horn Ave.
Moorcroft, WY 82721-0070
Phone (307) 756-3526
Other names 1
- Moorcroft Ambulance Service
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040511001828 | WY | Part B Supplier - Ambulance Service Supplier | 6103815394 | Practice locations: Moorcroft, WY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1608508800000",
"number": "1750407599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70",
"address_2": "104 N. BIG HORN AVE.",
"city": "MOORCROFT",
"state": "WY",
"postal_code": "827210070",
"telephone_number": "307-756-3526",
"fax_number": "307-756-3323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N. BIG HORN AVE.",
"city": "MOORCROFT",
"state": "WY",
"postal_code": "82721",
"telephone_number": "307-756-3526",
"fax_number": "307-756-3323"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOWN OF MOORCROFT",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-22",
"last_updated": "2020-12-21",
"certification_date": "2020-12-21",
"status": "A",
"authorized_official_last_name": "SCHNEIDER",
"authorized_official_first_name": "CHERYL",
"authorized_official_title_or_position": "CLERK/TREASURER",
"authorized_official_telephone_number": "307-756-3526"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": "WY",
"license": "59",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Moorcroft Ambulance Service",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Moorcroft Ambulance Service",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Moorcroft, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.