Organization
CITY OF SHERIDAN
Active
Other names
Sheridan Fire-Rescue
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK REITZ (FIRE CHIEF)
(307) 672-6126
Entity
Organization
Contact information
Practice address
151 S SCOTT ST, SHERIDAN, WY 82801-6309
(307) 672-6126
Mailing address
PO BOX 767, SHERIDAN, WY 82801-0767
(307) 672-6126
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
100
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000440470
—
MT
05
—
114501100
—
WY
01
—
308104
BLUE CROSS BLUE SHIELD
WY
Enumeration date
09/22/2006
Last updated
05/20/2008
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