GREAT WEST AMBULANCE SERVICE NPI 1336367861

NPI Information

GREAT WEST AMBULANCE SERVICE is a non emergency medical transport van in Casper, WY. The provider is a land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. GREAT WEST AMBULANCE SERVICE NPI is 1336367861. The provider is registered as an organization entity type.

The provider's business location address is:

2036 NOTTINGHAM DR
CASPER, WY
ZIP 82609-518
Phone: (307) 333-1219
Fax: (307) 333-1219

The provider's authorized official is Dana Lyn Navarre .
The authorized official title is Vice President and has the following contact phone number (307) 333-1219.

The enumeration date for this NPI number is 4/22/2007 and was last updated on 11/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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