ROCKY MOUNTAIN AMBULANCE SERVICE LLC (NPI# 1659301588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659301588 |
| Entity Type | Organization |
| Organization Name | ROCKY MOUNTAIN AMBULANCE SERVICE LLC |
| Other Organization Name | ROCKY MOUNTAIN AMBULANCE |
| Practice Address |
731 Broadway St Sheridan WY 82801-3600 |
| Mailing Address |
Po Box 589 Madisonville KY 42431-5011 |
| Practice Telephone | 3076738303 |
| Practice Fax Number | 3076737178 |
| Mailing Telephone | 2708248123 |
| Mailing Fax Number | 2708248140 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2019-09-17 |
| Authorized Official Name | THOMAS EDWARD GOODWIN (OWNER OPERATOR) |
| Authorized Official Telephone | 3076738303 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
104 | WY | Transportation Services |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 115242400 | 05 |
| Other Name | Type Code |
|---|---|
| Rocky Mountain Ambulance | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 311 E 8th, Sheridan, WY 82801 | 3076738303 | 3076737178 |
| Street Address |
731 BROADWAY ST |
| City | SHERIDAN |
| State | WY |
| Zip Code | 82801-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891320172 | Sarah Coulter | Physician Assistant | 1401 W 5th Street, Attention Medical Services Staff, Sheridan, WY 82801 | 2020-03-07 |
| 1013552082 | Bonnie Bowman Schlesselman | Occupational Therapy Assistant | 1851 Big Horn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-13 |
| 1790320976 | Jory Lee Turk | Physical Therapy Assistant | 1851 Bighorn Ave Sheridan Manor, Sheridan, WY 82801 | 2019-11-12 |
| 1356901532 | Kelsi Marie Martinez | Speech-Language Pathologist | 376 W Brundage St, Sheridan, WY 82801 | 2019-06-19 |
| 1841760410 | Christopher Michael Evans | Peer Specialist | 1221 W 5th Street, Sheridan, WY 82801 | 2018-11-27 |
| 1922582402 | Wyoming Eye Surgeons | Ophthalmology | 36 N. Gould St., Suite 2a, Sheridan, WY 82801 | 2018-09-20 |
| 1700368164 | Ashly Rose Garretson | Case Manager/Care Coordinator | 616 W 10th, Sheridan, WY 82801 | 2018-09-02 |
| 1053805382 | Sheridan Peak Wellness | Nutritionist | 740 S. Thurmond St., Sheridan, WY 82801 | 2018-06-20 |
| 1275040636 | Amber Van Dyke | Case Management | 757 Hwy 14 E, Sheridan, WY 82801 | 2018-01-08 |
| 1689103046 | Laura L Burrell | Case Manager/Care Coordinator | 151 W Brundage Street, Sheridan, WY 82801 | 2017-06-08 |
| Find all providers in zip 82801 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Find all providers with the same taxonomy | ||||
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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.