Healthcare Provider Details
I. General information
NPI: 1841381514
Provider Name (Legal Business Name): NEWCASTLE AMBULANCE SERVICE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/27/2006
Last Update Date: 05/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7 W WENWORTH
NEWCASTLE WY
82701
US
IV. Provider business mailing address
P O BOX 492
NEWCASTLE WY
82701
US
V. Phone/Fax
- Phone: 307-746-2800
- Fax:
- Phone: 307-746-2800
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | 105 |
| License Number State | WY |
VIII. Authorized Official
Name:
ROGER
K
HESPE
Title or Position: OWNER
Credential:
Phone: 307-746-2800