Provider Demographics
NPI:1194862458
Name:HANNA EMS
Entity Type:Organization
Organization Name:HANNA EMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAT
Authorized Official - Middle Name:M
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-325-9665
Mailing Address - Street 1:111 2ND STREET
Mailing Address - Street 2:PO BOX 44
Mailing Address - City:HANNA
Mailing Address - State:WY
Mailing Address - Zip Code:82327-0044
Mailing Address - Country:US
Mailing Address - Phone:307-325-9665
Mailing Address - Fax:307-325-9665
Practice Address - Street 1:111 SECOND ST.
Practice Address - Street 2:
Practice Address - City:HANNA
Practice Address - State:WY
Practice Address - Zip Code:82327-0044
Practice Address - Country:US
Practice Address - Phone:307-325-9665
Practice Address - Fax:307-325-2966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY373416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY9944OtherAMBULANCE PROVIDER
WY306388Medicare ID - Type UnspecifiedAMBULANCE PROVIDER