Organization
WYOMING SURGICAL CENTER MRI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES ROBERTSON (ADMINISTRATOR)
(307) 472-8781
Entity
Organization
Contact information
Practice address
4140 CENTENNIAL HILLS BLVD, #C, CASPER, WY 82609-3265
(307) 472-8781
(307) 472-8887
Mailing address
4140 CENTENNIAL HILLS BLVD #C, CASPER, WY 82609
(307) 472-8781
(307) 472-8887
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
35-2-904
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00092902
RAILROAD MEDICARE
WY
01
—
WY00549
BLUE CROSS BLUE SHIELD OF WYOMING
WY
Enumeration date
11/30/2006
Last updated
07/07/2008
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