Provider Demographics
NPI:1245383140
Name:TOWN OF SARATOGA
Entity Type:Organization
Organization Name:TOWN OF SARATOGA
Other - Org Name:SARATOGA ENCAMPMENT AMBULANCE SERVICE
Other - Org Type:Other Name
Authorized Official - Title/Position:TOWN CLERK
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZIE
Authorized Official - Middle Name:
Authorized Official - Last Name:COX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-326-8335
Mailing Address - Street 1:201 S. RIVER STREET
Mailing Address - Street 2:PO BOX 486
Mailing Address - City:SARATOGA
Mailing Address - State:WY
Mailing Address - Zip Code:82331-0486
Mailing Address - Country:US
Mailing Address - Phone:307-326-8335
Mailing Address - Fax:307-326-8941
Practice Address - Street 1:1208 S. RIVER STREET
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:WY
Practice Address - Zip Code:82331-0486
Practice Address - Country:US
Practice Address - Phone:307-326-8335
Practice Address - Fax:307-326-8941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY1263416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY002277OtherBLUE CROSS BLUE SHIELD
WY002277OtherBLUE CROSS BLUE SHIELD
WYW305859Medicare ID - Type UnspecifiedPROVIDER #