1194862458 NPI number — HANNA EMS

Table of content: (NPI 1194862458)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1194862458 NPI number — HANNA EMS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HANNA EMS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1194862458
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
111 2ND STREET
Provider Second Line Business Mailing Address:
PO BOX 44
Provider Business Mailing Address City Name:
HANNA
Provider Business Mailing Address State Name:
WY
Provider Business Mailing Address Postal Code:
82327-0044
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
307-325-9665
Provider Business Mailing Address Fax Number:
307-325-9665

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 SECOND ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HANNA
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82327-0044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-325-9665
Provider Business Practice Location Address Fax Number:
307-325-2966
Provider Enumeration Date:
01/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
GREGORY
Authorized Official First Name:
PAT
Authorized Official Middle Name:
M.
Authorized Official Title or Position:
TREASURER
Authorized Official Telephone Number:
307-325-9665

Provider Taxonomy Codes

  • Taxonomy code: 3416L0300X , with the licence number:  37 , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 9944 . This is a "AMBULANCE PROVIDER" identifier , issued by the state of ( WY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com