Provider Demographics
NPI:1952595043
Name:TOWN OF HANNA
Entity Type:Organization
Organization Name:TOWN OF HANNA
Other - Org Name:HANNA-ELMO VOLUNTEER FIRE DEPARTMENT/ EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:PAULSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-325-6189
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:HANNA
Mailing Address - State:WY
Mailing Address - Zip Code:82327-0099
Mailing Address - Country:US
Mailing Address - Phone:307-325-9665
Mailing Address - Fax:
Practice Address - Street 1:111 2ND ST
Practice Address - Street 2:
Practice Address - City:HANNA
Practice Address - State:WY
Practice Address - Zip Code:82327
Practice Address - Country:US
Practice Address - Phone:307-325-9665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-31
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY135341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance