| Volunteers Of America Northern Rockies | |
|
420 Deanne Ave Newcastle WY 82701-2936 | |
| (307) 746-4456 | |
| (307) 746-4470 |
| Full Name | Volunteers Of America Northern Rockies |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 420 Deanne Ave, Newcastle, Wyoming |
| Authorized Official Name and Position | Kelly Buckingham (VP OF IT AND COMPLIANCE) |
| Authorized Official Contact | 3076720475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Volunteers Of America Northern Rockies 420 Deanne Ave Newcastle WY 82701-2936 Ph: (307) 746-4456 | Volunteers Of America Northern Rockies 420 Deanne Ave Newcastle WY 82701-2936 Ph: (307) 746-4456 |
| NPI Number | 1417001330 |
|---|---|
| Provider Enumeration Date | 01/22/2007 |
| Last Update Date | 04/01/2023 |
| Certification Date | 04/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417001330 | NPI | - | NPPES |
| 01032001 | Other | WY | BCBS |
| 106074106 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Wyoming) | Primary |