Town of Albin

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

2 Issued in WY

Legal business name

TOWN OF ALBIN

Doing business as

Albin Rescue

Practice address

110 Cheyenne Ave
Albin, WY 82050-9901

Phone

(307) 846-3444

NPI assigned

Feb 21, 2013

Last updated

Feb 21, 2013By 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

Robin Whitehead

Title

Board Member

Phone

(307) 846-3541

Specialties & licenses 1

Addresses

Other names 1

• ALBIN RESCUE Doing business as

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Allison Anderson

  • Community Health Worker
  • Cheyenne, WY
  • NPI 1568741015
  NPD
• Anita Carolyn Deselms, FNP-BC

  • Family Nurse Practitioner
  • Cheyenne, WY
  • NPI 1699907022
  NPD (past)

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

{
    "created_epoch": "1361404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1760722250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641880",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681647880",
            "telephone_number": "402-572-4019",
            "fax_number": "402-991-0911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 CHEYENNE AVE",
            "city": "ALBIN",
            "state": "WY",
            "postal_code": "820509901",
            "telephone_number": "307-846-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOWN OF ALBIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-21",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "307-846-3541"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WY",
            "license": "2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALBIN RESCUE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.