Northwest Wyoming Boces in Thermopolis - Residential Treatment Facility, Emotionally Disturbed Children

Northwest Wyoming Boces - NPI 1639217144

Northwest Wyoming Boces is a Residential Treatment Facility, Emotionally Disturbed Children in Thermopolis, . Northwest Wyoming Boces practices all healthcare services and medical treatments related to Residential Treatment Facility, Emotionally Disturbed Children. The NPI Number for Northwest Wyoming Boces is 1639217144. The last update date is 2020-08-22.

Northwest Wyoming Boces's current location address is 250 E. Arapahoe, Thermopolis, . You can contact this provider via phone number 3078642171 and fax number 3078649463. The mailing address for Northwest Wyoming Boces is 250 E. Arapahoe, Thermopolis, . To know further, please read the information below!

Provider Profile Detail

Provider Organization Northwest Wyoming Boces
Address 250 E. Arapahoe, Thermopolis,
Phone Number 3078642171
Fax Number 3078649463
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Conner J Carolyn
Telephone Number 3078645269

NPI Number Detail

NPI Number 1639217144
Provider Enumeration Date 2007-02-05
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 250 E. Arapahoe
City Thermopolis
State (WY)
Post Code 82443
Phone Number 3078642171
Fax Number 3078649463

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Emotionally Disturbed Children
Taxonomy 322D00000X
Licence No 9601
Definition:
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
11886601 WY --

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FAQs about Northwest Wyoming Boces

What is the Northwest Wyoming Boces's 1639217144?

The Northwest Wyoming Boces's NPI (National Provider Identifier) Number is 1639217144. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Northwest Wyoming Boces is located?

The Northwest Wyoming Boces is situated at the following address: 250 E. Arapahoe, Thermopolis, WY, 82443.

What is Northwest Wyoming Boces's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Northwest Wyoming Boces's specialized field of practice is Residential Treatment Facility, Emotionally Disturbed Children, and the corresponding taxonomy code that categorizes this area of specialization is 322D00000X.

On what date did Northwest Wyoming Boces receive its 1639217144 assignment from the Centers for Medicare & Medicaid Services?

The Northwest Wyoming Boces was assigned its 1639217144 on 2007-02-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Northwest Wyoming Boces's information last updated?

The Northwest Wyoming Boces's information was last updated on 2020-08-22.

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