Provider Demographics
NPI:1750407599
Name:TOWN OF MOORCROFT
Entity type:Organization
Organization Name:TOWN OF MOORCROFT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CLERK/TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHNEIDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-756-3526
Mailing Address - Street 1:PO BOX 70
Mailing Address - Street 2:104 N. BIG HORN AVE.
Mailing Address - City:MOORCROFT
Mailing Address - State:WY
Mailing Address - Zip Code:82721-0070
Mailing Address - Country:US
Mailing Address - Phone:307-756-3526
Mailing Address - Fax:307-756-3323
Practice Address - Street 1:104 N. BIG HORN AVE.
Practice Address - Street 2:
Practice Address - City:MOORCROFT
Practice Address - State:WY
Practice Address - Zip Code:82721
Practice Address - Country:US
Practice Address - Phone:307-756-3526
Practice Address - Fax:307-756-3323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-22
Last Update Date:2020-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY59341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
WYW4503895Medicare ID - Type Unspecified