Healthcare Provider Details

I. General information

NPI: 1245383140
Provider Name (Legal Business Name): TOWN OF SARATOGA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1208 S. RIVER STREET
SARATOGA WY
82331-0486
US

IV. Provider business mailing address

201 S. RIVER STREET PO BOX 486
SARATOGA WY
82331-0486
US

V. Phone/Fax

Practice location:
  • Phone: 307-326-8335
  • Fax: 307-326-8941
Mailing address:
  • Phone: 307-326-8335
  • Fax: 307-326-8941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number126
License Number StateWY

VIII. Authorized Official

Name: MS. SUZIE COX
Title or Position: TOWN CLERK
Credential:
Phone: 307-326-8335