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Organization
HIGH COUNTRY BEHAVIORAL HEALTH
Active
Organization
HIGH COUNTRY BEHAVIORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIPP DANA (EXECUTIVE DIRECTOR)
(307) 885-9883
Entity
Organization
Contact information
Practice address
821 SAGE AVE, KEMMERER, WY 83101-3113
(307) 877-4466
(307) 789-9832
Mailing address
821 SAGE AVE, KEMMERER, WY 83101-3113
(307) 877-4466
(307) 789-9832
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
NULL
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
LAT-220
WY
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
291U00000X
Clinical Medical Laboratory
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1972624062
—
WY
Enumeration date
09/13/2011
Last updated
06/07/2024
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