State Of Wyoming in Lander - Intermediate Care Facility, Intellectual Disabilities

State Of Wyoming - NPI 1700949278

State Of Wyoming is a Intermediate Care Facility, Intellectual Disabilities in Lander, . State Of Wyoming practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for State Of Wyoming is 1700949278. The last update date is 2023-09-28.

State Of Wyoming's current location address is 8204 Highway 789, Lander, . You can contact this provider via phone number 3073356700. The mailing address for State Of Wyoming is 8204 Highway 789, Lander, . To know further, please read the information below!

Provider Profile Detail

Provider Organization State Of Wyoming
Address 8204 Highway 789, Lander,
Phone Number 3073356700
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ACCOUNTING
Authorized Official Name Jones Rachel
Telephone Number 3073356756

NPI Number Detail

NPI Number 1700949278
Provider Enumeration Date 2006-12-18
Last Updated Date 2023-09-28

Provider Mailing Address Detail

Address 8204 Highway 789
City Lander
State (WY)
Post Code 82520
Phone Number 3073356700
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 100180904
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
100180904 WY --

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FAQs about State Of Wyoming

What is the State Of Wyoming's unique identification number?

The State Of Wyoming has been assigned the NPI (National Provider Identifier) Number 1700949278 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of State Of Wyoming?

The State Of Wyoming is physically situated at 8204 Highway 789, in the city of Lander, state of WY, with the postal code 82520.

What is the State Of Wyoming's area of specialization and corresponding taxonomy classification?

The State Of Wyoming's specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1700949278 to State Of Wyoming?

The Centers for Medicare & Medicaid Services assigned the 1700949278 to State Of Wyoming on 2006-12-18.

When was the State Of Wyoming's information last updated?

The State Of Wyoming's information was last updated on 2023-09-28.

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