Organization
UINTA COUNTY AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC A QUINNEY (CHIEF ADMINISTRATIVE OFFICER)
(307) 789-8556
Entity
Organization
Contact information
Practice address
1136 FRONT ST, EVANSTON, WY 82930-3370
(307) 789-8556
(307) 789-4636
Mailing address
PO BOX 640, EVANSTON, WY 82931-0640
(307) 789-8556
(307) 789-4636
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
116
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7708
BLUE CROSS BLUE SHIELD WY
WY
Enumeration date
11/13/2006
Last updated
08/22/2020
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