Provider Demographics
NPI:1457576084
Name:NATIONAL PARK SERVICE
Entity Type:Organization
Organization Name:NATIONAL PARK SERVICE
Other - Org Name:GRAND TETONS NATIONAL PARK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEVI
Authorized Official - Middle Name:
Authorized Official - Last Name:YARDLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-250-3993
Mailing Address - Street 1:13461 SUNRISE VALLEY DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HERNDON
Mailing Address - State:VA
Mailing Address - Zip Code:20171-3283
Mailing Address - Country:US
Mailing Address - Phone:833-469-7789
Mailing Address - Fax:952-985-5671
Practice Address - Street 1:103 HEADQUARTERS LOOP
Practice Address - Street 2:
Practice Address - City:MOOSE
Practice Address - State:WY
Practice Address - Zip Code:83012-0170
Practice Address - Country:US
Practice Address - Phone:307-739-3331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NATIONAL PARK SERVICE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-04-17
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY9999999341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance