Community Health Center of Central Wyoming INC

NPI #1063951762 in Casper, Wyoming

Provider Information

NPI Number
1063951762
Entity Type
Organization
Organization Name
Community Health Center of Central Wyoming INC
Subpart
Yes (part of a larger organization)
Parent Organization
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 15, 2017
Last Updated
Jul 15, 2019

Practice Location

Address
5000 BLACKMORE RD
City
Casper
State
Wyoming
ZIP Code
82609-3345
Phone
(307) 233-6092

Authorized Official

Name
TAMRA MUNSELL
Title
REVENUE CYCLE MANAGER
Phone
(307) 233-6092

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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