# CENTRAL WYOMING OXYGEN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861664328
- **Authorized official:** LISA L MELLOTT RNC (MEMBER)
- **Authorized official phone:** (307) 334-0177

## Contact information

- **Practice address:** 340 EAST 'E' STREET, SUITE 160, CASPER, WY 82601-0000
- **Practice address phone:** (307) 237-2711
- **Practice address fax:** (307) 237-2715
- **Mailing address:** PO BOX 577, LUSK, WY 82225-0577
- **Mailing address phone:** (307) 334-0177
- **Mailing address fax:** (307) 334-0179

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BX2000X | Oxygen Equipment & Supplies (DME) | — | NULL | Yes |

## Other

- **Enumeration date:** 03/25/2008
- **Last updated:** 07/27/2009