Healthcare Provider Details

I. General information

NPI: 1083304612
Provider Name (Legal Business Name): FIRST FLIGHT OF WYOMING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2023
Last Update Date: 06/28/2023
Certification Date: 06/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2551 HUEY LN
GREYBULL WY
82426-9607
US

IV. Provider business mailing address

1233 N 30TH ST
BILLINGS MT
59101-0127
US

V. Phone/Fax

Practice location:
  • Phone: 833-359-3369
  • Fax:
Mailing address:
  • Phone: 406-237-4187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER ALDERFER
Title or Position: BOARD MEMBER
Credential:
Phone: 406-237-3075