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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