BIG HORN BASIN REGIONAL DIALYSIS CENTER LLC is an end-stage renal disease (esrd) treatment clinic center in Cody, WY. BIG HORN BASIN REGIONAL DIALYSIS CENTER LLC NPI is 1669818969. The provider is registered as an organization entity type.
The provider's business location address is:
424 YELLOWSTONE AVE
SUITE 150
CODY, WY
ZIP 82414-309
Phone: (307) 578-2223
Fax: (307) 578-2217
The provider's authorized official is William E Wood .
The authorized official title is President Of Member and has the following contact phone number (615) 327-3061.
The CLIA number assigned to this NPI record is 53D2059939 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/14/2013 and was last updated on 7/15/2019.