Organization
PAS WYOMING
Active
Organization
PAS WYOMING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SPARKS JR. (DIRECTOR)
(307) 460-0507
Entity
Organization
Contact information
Practice address
1465 N 4TH ST STE 111, LARAMIE, WY 82072-2066
(307) 460-0507
Mailing address
PO BOX 1630, LARAMIE, WY 82073-1630
(307) 460-0507
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149132601
—
WY
Enumeration date
11/08/2018
Last updated
11/08/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up