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COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC NPI 1073673042


NPI Information

NPI: 1073673042
Provider Name: COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC

Doing Business As: COMMUNITY HEALTH CENTER OF CENTRAL WYOMING

Classification: Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

Address:
5000 BLACKMORE RD
CASPER, WY
ZIP 82609
Phone: (307) 233-6050
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COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC is a clinic pharmacy pharmacy in Casper, WY. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC NPI is 1073673042. The provider is registered as an organization entity type.
The provider Is Doing Business As Community Health Center Of Central Wyoming.

The provider's business location address is:

5000 BLACKMORE RD
CASPER, WY
ZIP 82609-345
Phone: (307) 233-6050
Fax: (307) 233-6087

The provider's authorized official is Jessica Dornbier .
The authorized official title is Pharmacist In Charge and has the following contact phone number (307) 233-6050.

The enumeration date for this NPI number is 12/11/2006 and was last updated on 3/28/2022.


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
13336C0003XPharmacyCommunity/Retail PharmacyNo
2333600000XPharmacyNo
33336C0002XPharmacyClinic Pharmacy5201621WYOMINGYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1115261101MEDICAIDWYOMING
22111284OTHERPK

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

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