Organization
THAYNE EMTS
Active
Other names
Thayne Ambulance Service
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM HANSEN (CAPTAIN)
(307) 883-4383
Entity
Organization
Contact information
Practice address
231 S MAIN ST, THAYNE, WY 83127-1607
(307) 883-4383
(307) 883-4382
Mailing address
PO BOX 942, THAYNE, WY 83127-0942
(307) 883-4383
(307) 883-4382
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112805100
—
WY
01
—
307470
BCBS
WY
Enumeration date
05/17/2007
Last updated
02/16/2017
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