Organization Name: | COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC |
NPI Number: | 1003854043 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DANIEL J REINER (CHIEF EXECUTIVE OFFICER) |
Mailing Address: | 2546 E 2nd St Suite 600 Casper |
State: | WY US |
Postal Code: | 826092062 |
Phone Number: | 3072336025 |
Fax Number: | 3072336089 |
NPI Enumeration Date: | 06/03/2006 |
NPI Last Update Date: | 10/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |