COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC NPI 1063951762

NPI Information

COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC is a federally qualified health center (fqhc) clinic center in Casper, WY. COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC NPI is 1063951762. The provider is registered as an organization entity type.

The provider's business location address is:

5000 BLACKMORE RD
CASPER, WY
ZIP 82609-345
Phone: (307) 233-6092

The provider's authorized official is Tamra Munsell .
The authorized official title is Revenue Cycle Manager and has the following contact phone number (307) 233-6092.

The CLIA number assigned to this NPI record is 53D0519936 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 2/15/2017 and was last updated on 7/15/2019.

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:

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