| Centricare Benefits Llc | |
|
1621 Central Ave Cheyenne WY 82001-4531 | |
| (214) 984-1306 | |
| Not Available |
| Full Name | Centricare Benefits Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1621 Central Ave, Cheyenne, Wyoming |
| Authorized Official Name and Position | Elvis Mbunya (CEO) |
| Authorized Official Contact | 2149841306 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centricare Benefits Llc 1621 Central Ave Cheyenne WY 82001-4531 Ph: () - | Centricare Benefits Llc 1621 Central Ave Cheyenne WY 82001-4531 Ph: (214) 984-1306 |
| NPI Number | 1245022615 |
|---|---|
| Provider Enumeration Date | 05/20/2025 |
| Last Update Date | 05/20/2025 |
| Certification Date | 05/20/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245022615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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