institution
County Of Teton
Land Ambulance in Jackson, Wyoming
NPI 1003947953

County Of Teton is a Land Ambulance based in Jackson, WY and is specialized in Land Transport. County Of Teton practices in Jackson, WY. The NPI Number for County Of Teton is 1003947953 and holds a License No. 113 (Wyoming).

The current practice location address for County Of Teton is 40 E Pearl Ave, Jackson, WY and can be reached out via phone at 402-572-4019 and via fax at 402-965-8594.

Location: 40 E Pearl Ave, Jackson, WY, 83001-0901
institution
Provider Profile Details
NPI Number
1003947953
Provider Name
County Of Teton
Credential
Provider Entity Type
Organization
Address
40 E Pearl Ave, Jackson, WY, 83001-0901
Phone Number
402-572-4019
Fax Number
402-965-8594
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
10149 01 RAILROAD MEDICARE
1003947953 01 WY BLUE CROSS PROVIDER NUMBE
institution
Provider Business Practice Location Address Details
Address
40 E Pearl Ave
City
State
Zip
83001
Phone Number
402-572-4019
Fax Number
402-965-8594
person
Provider Business Mailing Address Details
Address
40 E Pearl Ave
City
State
Zip
83001
Phone Number
402-572-4019
Fax Number
402-965-8594
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Ambulance
Speciality
Land Transport
Taxonomy
License No.
113 (Wyoming)
Definition
Definition to come...
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