Organization
VASE FUNERAL HOME
Active
Other names
Vase Emergency Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
KIM VASE (OWNER)
(307) 362-5607
Entity
Organization
Contact information
Practice address
168 ELK ST, ROCK SPRINGS, WY 82901-5241
(307) 362-5607
(307) 362-2750
Mailing address
PO BOX 2400, ROCK SPRINGS, WY 82902-2400
(866) 883-4336
(307) 362-4339
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
68
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04796001
BLUE CROSS BLUE SHIELD
WY
05
—
112443900
—
WY
Enumeration date
02/07/2007
Last updated
09/09/2009
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