Organization
NEWCASTLE AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER K HESPE (OWNER)
(307) 746-2800
Entity
Organization
Contact information
Practice address
7 W WENWORTH, NEWCASTLE, WY 82701
(307) 746-2800
Mailing address
P O BOX 492, NEWCASTLE, WY 82701
(307) 746-2800
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
105
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116259400
—
WY
01
—
310997
BLUE CROSS BLUE SHIELD
WY
01
—
9011090
SOUTH DAKATO MEDICAID
SD
Enumeration date
09/27/2006
Last updated
05/20/2008
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