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Organization

NORTH LINCOLN COUNTY HOSPITAL DISTRICT

Active
Other names
Star Valley Medical Center EMTs, Star Valley Health-EMS
Organization subpart
No

Provider details

NPI number
Authorized official
DEIRDRE HEBDON (CREDENTIALING SPECIALIST)
(307) 885-5811
Entity
Organization

Contact information

Practice address
901 ADAMS, AFTON, WY 83110-0579
(307) 885-5800
(307) 885-5865
Mailing address
PO BOX 579, AFTON, WY 83110-0579
(307) 885-5800
(307) 885-5865

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
01
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255376406
WY
01
1285657007
MEDICARE
WY
05
1285657007
WY
Enumeration date
07/25/2006
Last updated
01/12/2021
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