Healthcare Provider Details

I. General information

NPI: 1366432197
Provider Name (Legal Business Name): CODY REGIONAL HEALTH EMS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2005
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 SHERIDAN AVE
CODY WY
82414-3409
US

IV. Provider business mailing address

707 SHERIDAN AVE
CODY WY
82414-3409
US

V. Phone/Fax

Practice location:
  • Phone: 307-527-7501
  • Fax: 307-578-2485
Mailing address:
  • Phone: 307-527-7501
  • Fax: 307-578-2485

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: HANNAH HANNAH MCRAE
Title or Position: CFO
Credential:
Phone: 307-578-2490