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CORAM HEALTHCARE OF WYOMING LLC NPI 1720035249


NPI Information

NPI: 1720035249
Provider Name: CORAM HEALTHCARE OF WYOMING, LLC
Classification: Clinic/Center - 261QI0500X
Entity Type: Organization

Specialization: Infusion Therapy

Address:
1507 STILLWATER AVE
SUITE C
CHEYENNE, WY
ZIP 82009
Phone: (307) 635-3785
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CORAM HEALTHCARE OF WYOMING, LLC is an infusion therapy clinic center in Cheyenne, WY. CORAM HEALTHCARE OF WYOMING, LLC NPI is 1720035249. The provider is registered as an organization entity type.

The provider's business location address is:

1507 STILLWATER AVE
SUITE C
CHEYENNE, WY
ZIP 82009-358
Phone: (307) 635-3785
Fax: (307) 635-7002

The provider's authorized official is Vito Ponzio, Jr .
The authorized official title is Sr Vp and has the following contact phone number (303) 672-8631.

The enumeration date for this NPI number is 5/29/2006 and was last updated on 10/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QI0500XClinic/CenterInfusion TherapyN/AWYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.