| NPI | 1205994993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN STREETER Chief Financial Office 307-864-3121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: WY 07-107) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |