Organization
TEN SLEEP AMBULANCE SERVICE
Active
Organization
TEN SLEEP AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARD DEREK FERGUSON EMT-I (DIRECTOR)
(307) 431-5148
Entity
Organization
Contact information
Practice address
415 5TH STREET, TEN SLEEP, WY 82442-0005
(307) 366-2265
(307) 366-2228
Mailing address
PO BOX 5, TEN SLEEP, WY 82442-0005
(307) 366-2265
(307) 366-2228
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
76
WY
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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