Provider Demographics
NPI:1962544221
Name:HULETT EMERGENCY MEDICAL SERVICE INC.
Entity type:Organization
Organization Name:HULETT EMERGENCY MEDICAL SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURE
Authorized Official - Prefix:MRS
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-290-4103
Mailing Address - Street 1:PO BOX 294
Mailing Address - Street 2:
Mailing Address - City:HULETT
Mailing Address - State:WY
Mailing Address - Zip Code:82720-0294
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:119 HILL STREET
Practice Address - Street 2:
Practice Address - City:HULETT
Practice Address - State:WY
Practice Address - Zip Code:82720
Practice Address - Country:US
Practice Address - Phone:307-290-4103
Practice Address - Fax:605-443-8880
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-13
Last Update Date:2019-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY39146M00000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, IntermediateGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY1962544221OtherNPI