SUBLETTE COUNTY RURAL HEALTH CARE DISTRICT


Address: 635 E Hennick, Pinedale, WY 82941
Phone: 3073672315

SUBLETTE COUNTY RURAL HEALTH CARE DISTRICT (NPI# 1508817339) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508817339
Entity Type Organization
Organization Name SUBLETTE COUNTY RURAL HEALTH CARE DISTRICT
Other Organization Name SUBLETTE COUNTY EMS
Practice Address 635 E Hennick
Pinedale
WY 82941
Mailing Address Po Box 627
Pinedale
WY 82941-0627
Practice Telephone 3073672315
Practice Fax Number 3072764447
Mailing Telephone 3072764451
Mailing Fax Number 3072764447
Enumeration Date 2006-05-15
Last Update Date 2009-01-27
Authorized Official Name MRS. LORRAINE DIANE GATZKE (CFO)
Authorized Official Telephone 3072764451
Is Organization Subpart Y
Parent Organization Name SUBLETTE COUNTY RURAL HEALTH CARE DISTRICT

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 146M00000X Emergency Medical Technician, Intermediate Emergency Medical Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WY 106950100 05

Other Provider/Organization Names

Other Name Type Code
Sublette County EMS Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1194776930 Sublette County Rural Health Care District Pediatrics 625 E Hennick, Pinedale, WY 82941 2006-05-15
1609827435 Sublette County Rural Health Care District Family Medicine 103 W 3rd Street, Marbleton, WY 83113 2006-05-15

Office Location

Street Address 635 E HENNICK
City PINEDALE
State WY
Zip Code 82941

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215540794 Sarah Peterson Occupational Therapist 317 N Faler Avenue, Pinedale, WY 82941 2020-08-25
1427600402 Kelsi Marie Sluyter Social Worker 24 Country Club Ln, Pinedale, WY 82941 2019-07-10
1376100776 Jason M Reasor Counselor 24 Country Club Ln., Pinedale, WY 82941 2019-05-22
1831624881 Winds Physical Therapy LLC Physical Therapist 167 South Cole Ave, Pinedale, WY 82941 2017-04-27
1215346424 Jennifer Jensen Case Manager/Care Coordinator 120 S Cole, Pinedale, WY 82941 2014-08-13
1952711384 Rick Ditton Social Worker 798 S Fremont, Pinedale, WY 82941 2014-05-07
1770836553 Adam Michael Stucki Pharmacist 341 E Pine St, Pinedale, WY 82941 2012-10-18
1295022820 Joshua Howard Francis Dentist 51 E. North Street, Pinedale, WY 82941 2011-07-04
1497053144 Mary L. Simbarcelos Counselor 431 W. Pine St., Pinedale, WY 82941 2011-03-04
1902106628 Sublette County Public Health Registered Nurse 619 E Hennick St, Pinedale, WY 82941 2010-10-28
Find all providers in zip 82941

Taxonomy Information

Taxonomy Code 146M00000X
Grouping Emergency Medical Service Providers
Classification Emergency Medical Technician, Intermediate

Taxonomy Definition

An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards.
Notes: Sources: Tabers Medical Dictionary and Florida EMS Clearing House.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497314165 Paula Lee Mendenhall Emergency Medical Technician, Intermediate 7 W Wentworth St, Newcastle, WY 82701-2838 2019-06-06
1962544221 Hulett Emergency Medical Service Inc. Emergency Medical Technician, Intermediate 119 Hill Street, Hulett, WY 82720 2007-02-13
1558415604 Hawk Springs Rescue Emergency Medical Technician, Intermediate 327 Highway 85, Hawk Springs, WY 82217 2007-01-23

Competitor

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City PINEDALE
Zip Code 82941

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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