Provider Demographics
NPI:1558082669
Name:ELEVATED HEALTH AND SAFETY SOLUTIONS, LLC
Entity Type:Organization
Organization Name:ELEVATED HEALTH AND SAFETY SOLUTIONS, LLC
Other - Org Name:ELEVATED HEALTH & SAFETY SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:
Authorized Official - Last Name:SNODGRASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-324-3723
Mailing Address - Street 1:902 N HIGLEY BLVD
Mailing Address - Street 2:
Mailing Address - City:RAWLINS
Mailing Address - State:WY
Mailing Address - Zip Code:82301-5906
Mailing Address - Country:US
Mailing Address - Phone:307-324-3723
Mailing Address - Fax:307-370-4070
Practice Address - Street 1:902 N HIGLEY BLVD
Practice Address - Street 2:
Practice Address - City:RAWLINS
Practice Address - State:WY
Practice Address - Zip Code:82301-5906
Practice Address - Country:US
Practice Address - Phone:307-324-3723
Practice Address - Fax:307-370-4070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY200547740AMedicaid
WY1255403457OtherNPI
WY110573001OtherMEDICARE