# CHEYENNE SURGICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** High Plains Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730191651
- **Authorized official:** DEBBIE HALL RN (ADMINISTRATOR)
- **Authorized official phone:** (307) 633-8171

## Contact information

- **Practice address:** 2301 HOUSE AVE SUITE 200, CHEYENNE, WY 82001
- **Practice address phone:** (307) 633-8121
- **Practice address fax:** (307) 633-8170
- **Mailing address:** 2301 HOUSE AVE SUITE 200, CHEYENNE, WY 82001
- **Mailing address phone:** (307) 633-8121
- **Mailing address fax:** (307) 633-8170

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 07022 | WY | Yes |

## Other

- **Enumeration date:** 08/12/2006
- **Last updated:** 05/28/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 115983600 | — | WY |