Provider Demographics
NPI:1700524766
Name:CITY OF CHEYENNE
Entity Type:Organization
Organization Name:CITY OF CHEYENNE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DEPARTMENT CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:KOPPER
Authorized Official - Suffix:
Authorized Official - Credentials:CHIEF
Authorized Official - Phone:307-637-6315
Mailing Address - Street 1:415 W 18TH ST
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82001-4331
Mailing Address - Country:US
Mailing Address - Phone:307-637-6311
Mailing Address - Fax:307-637-6387
Practice Address - Street 1:716 W 19TH ST
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-4309
Practice Address - Country:US
Practice Address - Phone:307-630-6320
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146L00000XEmergency Medical Service ProvidersEmergency Medical Technician, ParamedicGroup - Single Specialty