| Organization Name: | SUBLETTE COUNTY RURAL HEALTH CARE DISTRICT |
| NPI Number: | 1508817339 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LORRAINE DIANE GATZKE (CFO) |
| Mailing Address: | 635 E Hennick Pinedale |
| State: | WY US |
| Postal Code: | 82941 |
| Phone Number: | 3073672315 |
| Fax Number: | 3072764447 |
| NPI Enumeration Date: | 05/15/2006 |
| NPI Last Update Date: | 01/27/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 146M00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Emergency Medical Service Providers |
| Taxonomy Classification: | Emergency Medical Technician, Intermediate |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An Intermediate EMT is an individual trained and certified to perform intermediate life support treatment in medical emergencies based on individual state boards. |