Organization
ROCKY MOUNTAIN AMBULANCE SERVICE LLC
Active
Other names
Rocky Mountain Ambulance
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS EDWARD GOODWIN (OWNER OPERATOR)
(307) 673-8303
Entity
Organization
Contact information
Practice address
731 BROADWAY ST, SHERIDAN, WY 82801-3600
(307) 673-8303
(307) 673-7178
Mailing address
PO BOX 589, MADISONVILLE, KY 42431-5011
(270) 824-8123
(270) 824-8140
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
104
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115242400
—
WY
Enumeration date
07/04/2006
Last updated
09/17/2019
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