| Organization Name: | TATUM-MERE HEALTH AND COMMUNITY SERVICES INC. |
| NPI Number: | 1134352560 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRANDON VASHON MACK (PRESIDENT) |
| Mailing Address: | 1200 College Dr Rock Springs |
| State: | WY US |
| Postal Code: | 829015868 |
| Phone Number: | 3073528329 |
| Fax Number: | |
| NPI Enumeration Date: | 09/02/2009 |
| NPI Last Update Date: | 09/23/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QH0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Health Service |
| Taxonomy Definition: | |