# CASTLE ROCK SPECIAL HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WY Breast and Cervical Early Detection Program
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013057173
- **Authorized official:** SUSAN BYBEE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (307) 872-4530

## Contact information

- **Practice address:** 1400 UINTA DR, GREEN RIVER, WY 82935-5046
- **Practice address phone:** (307) 872-4500
- **Practice address fax:** (307) 872-4595
- **Mailing address:** PO BOX 219, GREEN RIVER, WY 82935-0219
- **Mailing address phone:** (307) 872-4500
- **Mailing address fax:** (307) 872-4595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | NULL | Yes |
| 2083P0901X | Public Health & General Preventive Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2007
- **Last updated:** 08/22/2020