Organization Active NPI

Sweetwater Medics LLC

  • Land Ambulance
  • Rock Springs, WY
National Provider Identifier
1942347844
Registry record updated Dec 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
SWEETWATER MEDICS LLC
Practice address
916 Pilot Butte Ave
Rock Springs, WY 82901-5349
Phone
(307) 362-6108
Fax
(307) 362-6165
NPI assigned
Jan 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2013

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

Authorized official

Name
Ronald G Gatti
Title
Director
Phone
(307) 371-8833

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

916 Pilot Butte Ave
Rock Springs, WY 82901-5349

Mailing address

PO Box 356
Rock Springs, WY 82902-0356
Phone (307) 362-6108

Other identifiers 2

IdentifierTypeStateIssuer
315032OtherWYBC/BS OF WYOMING
1942347844MedicaidWY

Other names 1

  • Sweetwater Medics Doing business as

National Provider Directory

National Provider Directory

Locations

2481 Foothill Blvd
Rock Springs, WY 82901
Phone (307) 362-6108

916 Pilot Butte Ave
Rock Springs, WY 82901
Phone (307) 362-6108

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386547200000",
    "number": "1942347844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 356",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829020356",
            "telephone_number": "307-362-6108",
            "fax_number": "307-362-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 PILOT BUTTE AVE",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015349",
            "telephone_number": "307-362-6108",
            "fax_number": "307-362-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEETWATER MEDICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2013-12-09",
        "status": "A",
        "authorized_official_last_name": "GATTI",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "307-371-8833"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF WYOMING",
            "identifier": "315032",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942347844",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sweetwater Medics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2013; 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.