Provider Demographics
NPI:1578887709
Name:TOWN OF WAMSUTTER
Entity Type:Organization
Organization Name:TOWN OF WAMSUTTER
Other - Org Name:WAMSUTTER EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:
Authorized Official - Last Name:LYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-321-0909
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:WAMSUTTER
Mailing Address - State:WY
Mailing Address - Zip Code:82336-0006
Mailing Address - Country:US
Mailing Address - Phone:307-321-0909
Mailing Address - Fax:
Practice Address - Street 1:231 MCCORMICK STREET
Practice Address - Street 2:
Practice Address - City:WAMSUTTER
Practice Address - State:WY
Practice Address - Zip Code:82336-0006
Practice Address - Country:US
Practice Address - Phone:307-324-5793
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-17
Last Update Date:2010-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY803416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport