Organization
COUNTY OF FREMONT
Active
Other names
Fremont County Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURI A WEMPEN (DIRECTOR)
(307) 857-3669
Entity
Organization
Contact information
Practice address
1052 PETERSDORF DR, RIVERTON, WY 82501-2308
(307) 857-3669
(307) 857-3665
Mailing address
1052 PETERSDORF DR, RIVERTON, WY 82501-2308
(307) 857-3669
(307) 857-3665
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
125
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107244700
—
WY
01
—
185875300
USDOL
—
01
—
303868
BCBS OF WYOMING
WY
01
—
Z31843
BCBS OF MASSACHUSETTS
MA
Enumeration date
08/31/2006
Last updated
05/31/2013
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