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SWEETWATER COUNTY CHILD DEVELOPMENTAL CENTER NPI 1740407113


NPI Information

NPI: 1740407113
Provider Name: SWEETWATER COUNTY CHILD DEVELOPMENTAL CENTER
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1715 HITCHING POST
GREEN RIVER, WY
ZIP 82935
Phone: (307) 875-0268
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SWEETWATER COUNTY CHILD DEVELOPMENTAL CENTER is a clinic center in Green River, WY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). SWEETWATER COUNTY CHILD DEVELOPMENTAL CENTER NPI is 1740407113. The provider is registered as an organization entity type.

The provider's business location address is:

1715 HITCHING POST
GREEN RIVER, WY
ZIP 82935-783
Phone: (307) 875-0268
Fax: (307) 875-3805

The provider's authorized official is Lucinda Kasper .
The authorized official title is Executive Director and has the following contact phone number (307) 875-0268.

The enumeration date for this NPI number is 4/19/2007 and was last updated on 10/26/2015.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
2261Q00000XClinic/CenterWYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1106469000MEDICAIDWYOMING

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: 5/5/2024

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