COMMUNITY ACTION PARTNERSHIP OF NATRONA COUNTY NPI 1629121330

NPI Information

NPI: 1629121330
Provider Name: COMMUNITY ACTION PARTNERSHIP OF NATRONA COUNTY

Doing Business As: HEALTHCARE FOR THE HOMELESS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1514 E 12TH ST.
STE. 201
CASPER, WY
ZIP 82601
Phone: (307) 235-6116
Get Directions

COMMUNITY ACTION PARTNERSHIP OF NATRONA COUNTY is a federally qualified health center (fqhc) clinic center in Casper, WY. COMMUNITY ACTION PARTNERSHIP OF NATRONA COUNTY NPI is 1629121330. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Healthcare For The Homeless.

The provider's business location address is:

1514 E 12TH ST.
STE. 201
CASPER, WY
ZIP 82601
Phone: (307) 235-6116
Fax: (307) 235-0249

The provider's authorized official is Brenda Eickhoff .
The authorized official title is Executive Director and has the following contact phone number (307) 232-0124.

The CLIA number assigned to this NPI record is 53D1064503 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 9/17/2016.

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 State	Primary
1	208D00000X	General Practice			No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)		No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	WYOMING	Yes

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
1	531803	MEDICARE PIN	WYOMING
2	119137301	OTHER	WYOMING	WY BREAST AND CERVICAL
3	11937300	MEDICAID	WYOMING
4	119137300	MEDICAID	WYOMING

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

NPI Synchronization or Removal

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