| Community Health Center of Central Wyoming Inc Pediatrics | |
|
8185 Highway 789 Lander WY 82520-2942 | |
| (307) 332-2185 | |
| (307) 332-7799 |
| Full Name | Community Health Center of Central Wyoming Inc Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 8185 Highway 789, Lander, Wyoming |
| Authorized Official Name and Position | Amanda Sisco (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 3072336000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center of Central Wyoming Inc Pediatrics 5000 Blackmore Rd Casper WY 82609-3345 Ph: (307) 233-6000 | Community Health Center of Central Wyoming Inc Pediatrics 8185 Highway 789 Lander WY 82520-2942 Ph: (307) 332-2185 |
| NPI Number | 1205308855 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 3375454705 |
|---|---|
| Medicare Enrollment ID | O20190716000528 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205308855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | () | Primary |
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