Organization
CONVERSE COUNTY AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA L JOHNSON (BILLING CLERK)
(307) 358-2244
Entity
Organization
Contact information
Practice address
107 N 5TH ST, SUITE 114, DOUGLAS, WY 82633-2423
(307) 358-2244
(307) 358-5998
Mailing address
107 N 5TH ST, SUITE 114, DOUGLAS, WY 82633-2423
(307) 358-2244
(307) 358-5998
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
WY
Other
Enumeration date
01/22/2007
Last updated
08/22/2020
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