MEDICARE: HAWK SPRINGS RESCUE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	146M00000X	Intermediate Emergency Medical Technician	38	WY

General Provider Information

NPI Number	:	1558415604
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAWK SPRINGS RESCUE

Provider Business Mailing Address
First Line	:	327 HWY 85
Second Line	:	PO BOX 124
City	:	HAWK SPRINGS
State	:	WY
Zip	:	82217
Country	:	US
Telephone Number	:	307-532-7052
Fax Number	:

Provider Business Practice Location Address
First Line	:	327 HIGHWAY 85
Second Line	:
City	:	HAWK SPRINGS
State	:	WY
Zip	:	82217
Country	:	US
Telephone Number	:	307-532-7052
Fax Number	:

Authorized Official
Title or Position	:	AMBULANCE DIRECTOR
Name	:	MR. LOU S HUBBS
Credential	:	NREMT I
Telephone Number	:	307-788-1530

Provider Enumeration Date	:	01/23/2007
Last Update Date	:	08/22/2020

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Directions to “HAWK SPRINGS RESCUE ” Practice Location

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