Organization
HIGH COUNTRY HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARILYN PEDRICK (ADMINISTRATOR)
(307) 742-3120
Entity
Organization
Contact information
Practice address
3131 E GRAND AVE UNIT A, LARAMIE, WY 82070-5140
(307) 742-3120
Mailing address
3131 E GRAND AVE UNIT A, LARAMIE, WY 82070-5140
(307) 742-3120
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
5003556
WY
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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