| Healthcare For The Homeless | |
|
1514 E 12th St. Ste. 201 Casper WY 82601 | |
| (307) 235-6116 | |
| (307) 235-0249 |
| Full Name | Healthcare For The Homeless |
|---|---|
| Speciality | Clinic/Center |
| Location | 1514 E 12th St., Casper, Wyoming |
| Authorized Official Name and Position | Brenda Eickhoff (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3072320124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthcare For The Homeless 800 Werner Ct., Ste 201 Casper WY 82601 Ph: (304) 232-0124 | Healthcare For The Homeless 1514 E 12th St. Ste. 201 Casper WY 82601 Ph: (307) 235-6116 |
| NPI Number | 1629121330 |
|---|---|
| Provider Enumeration Date | 01/18/2007 |
| Last Update Date | 09/17/2016 |
| Medicare PECOS PAC ID | 5991881989 |
|---|---|
| Medicare Enrollment ID | O20080401000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629121330 | NPI | - | NPPES |
| 11937300 | Medicaid | WY | |
| 119137301 | Other | WY | WY BREAST AND CERVICAL |
| 119137300 | Medicaid | WY |
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