Organization
WEST PARK HOSPITAL DISTRICT
Active
Organization
WEST PARK HOSPITAL DISTRICT
Active
Other names
CODY REGIONAL HEALTH WALK IN CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGALS ALAN MCMILLAN (CEO)
(307) 578-2489
Entity
Organization
Contact information
Practice address
424 YELLOWSTONE AVE, SUITE 120, CODY, WY 82414
(307) 578-2907
(307) 587-1256
Mailing address
707 SHERIDAN AVE, CODY, WY 82414
(307) 578-2480
(307) 578-2492
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
06-003
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106133017
—
WY
01
—
1081001
BLUE CROSS
WY
01
—
307718
BLUE CROSS
WY
Enumeration date
10/21/2005
Last updated
09/06/2022
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