WHITE LINE LLC (NPI# 1548656242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1548656242 |
Entity Type | Organization |
Organization Name | WHITE LINE LLC |
Other Organization Name | ATWOOD FAMILY |
Practice Address |
419 W C Street Basin WY 82410 |
Mailing Address |
Po Box 530 Basin WY 82410-0530 |
Practice Telephone | 3075682041 |
Practice Fax Number | 3075682727 |
Mailing Telephone | 3075682041 |
Mailing Fax Number | 3075682727 |
Enumeration Date | 2015-04-09 |
Last Update Date | 2016-06-13 |
Authorized Official Name | CLAYTON DRAGGOO (OWNER) |
Authorized Official Telephone | 3075682041 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | 141081400 | 05 |
Other Name | Type Code |
---|---|
Atwood Family | Doing Business As Name - Organization |
Street Address |
419 W C STREET |
City | BASIN |
State | WY |
Zip Code | 82410 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972123206 | Kara Magid | Occupational Therapist | 406 South 4th Street, Basin, WY 82410 | 2020-04-16 |
1154853398 | Marietta Camra Miller | Licensed Practical Nurse | 617 Zane Ave, Basin, WY 82410 | 2017-03-28 |
1043644545 | Big Horn Basin Association Adolescent Programs | Foster Care Agency | 967 Hwy 20 South, Basin, WY 82410 | 2013-09-03 |
1417399775 | Whitney Jay Neves | Physical Therapist | 406 S. 4th St, Basin, WY 82410 | 2013-07-26 |
1154571271 | Rosemary Newton | Registered Nurse | 453 North 5th Street, Basin, WY 82410 | 2008-09-25 |
1508014382 | Debbie Lee Crist | Speech-Language Pathologist | 115 South 4th St, Basin, WY 82410 | 2008-09-04 |
1679739213 | Deborah Ann Franko Lane | Registered Nurse | 116 South 3rd St., Basin, WY 82410 | 2008-08-04 |
1528242674 | Christine Mae Smith | Registered Nurse | 205 South 8th Street, Basin, WY 82410 | 2007-12-26 |
1225256027 | Ralph Henry Louis Jr. | Psychologist | 116 South 3rd Street, Basin, WY 82410 | 2007-04-24 |
1962523126 | Kristi L. Bonnel-phillips | Family Medicine | 156 North 6th Street, Basin, WY 82410 | 2007-04-03 |
Find all providers in zip 82410 |
Taxonomy Code | 3416L0300X |
Grouping | Transportation Services |
Classification | Ambulance |
Specialization | Land Transport |
Definition to come... |
Notes: [1/1/2005: title modified] |
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1154870830 | Town of Burns | Ambulance | 346 So Prairie, Burns, WY 82053-9998 | 2016-09-23 |
1720462104 | Alpine Ems Inc | Ambulance | 220 Highway 89, Alpine, WY 83128 | 2015-07-15 |
1770990616 | Osage Volunteer Fire Department | Ambulance | 463 Nefsy Ave, Osage, WY 82723-8806 | 2014-07-11 |
1023455193 | Hawk Springs Volunteer Firemen | Ambulance | 327 Us Hwy 85, Hawk Springs, WY 82217 | 2013-05-30 |
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1649564931 | Guardian Flight Inc | Ambulance | 1208 Hilltop Drive, Suite 203, Rock Springs, WY 82901 | 2011-06-03 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.