Healthcare Provider Details

I. General information

NPI: 1477542595
Provider Name (Legal Business Name): CITY OF TORRINGTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/20/2005
Last Update Date: 01/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2241 E B ST
TORRINGTON WY
82240-2471
US

IV. Provider business mailing address

PO BOX 250
TORRINGTON WY
82240-0250
US

V. Phone/Fax

Practice location:
  • Phone: 307-532-7052
  • Fax: 307-532-7913
Mailing address:
  • Phone: 307-532-7052
  • Fax: 307-532-7913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number78
License Number StateWY

VIII. Authorized Official

Name: MR. DARIN R YATES
Title or Position: EXECUTIVE DIRECTOR
Credential: EMT-I
Phone: 307-532-7052