# MEDIHORIZONS INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CHEYENNE FAMILY MEDICINE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154342921
- **Authorized official:** DONALD A KOUGL MD (PRESIDENT)
- **Authorized official phone:** (307) 635-5393

## Contact information

- **Practice address:** 1950 BLUEGRASS CIR, SUITE 200, CHEYENNE, WY 82009-7323
- **Practice address phone:** (307) 635-5393
- **Practice address fax:** (307) 635-2199
- **Mailing address:** PO BOX 20170, CHEYENNE, WY 82003-7004
- **Mailing address phone:** (307) 635-5393
- **Mailing address fax:** (307) 635-2199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 112579600 | — | WY |
| 01 | — | CN3773 | RAILROAD MEDICARE | WY |