1457576084 NPI number — NATIONAL PARK SERVICE

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1457576084 NPI number — NATIONAL PARK SERVICE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NATIONAL PARK SERVICE
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:
GRAND TETONS NATIONAL PARK
Provider Other Organization Name Type Code:
3
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:
1457576084
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/08/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
13461 SUNRISE VALLEY DR STE 200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HERNDON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
20171-3283
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
833-469-7789
Provider Business Mailing Address Fax Number:
952-985-5671

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
103 HEADQUARTERS LOOP
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MOOSE
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
83012-0170
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-739-3331
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/17/2007

Additional Information

Authorized Official

Authorized Official Last Name:
YARDLEY
Authorized Official First Name:
LEVI
Authorized Official Middle Name:
Authorized Official Title or Position:
EMS PROGRAM DIRECTOR
Authorized Official Telephone Number:
307-250-3993

Provider Taxonomy Codes

  • Taxonomy code: 341600000X , with the licence number:  9999999 , 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)





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