Organization
WYOMING PACE
Active
Parent organization
CHEYENNE REGIONAL MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHEYENNE REGIONAL MEDICAL CENTER
Authorized official
LAURIE WRIGHT RN, BSN, MS (CLINICAL DIRECTOR)
(307) 633-7005
Entity
Organization
Contact information
Practice address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 773-8112
(307) 773-8131
Mailing address
214 E 23RD ST, CHEYENNE, WY 82001-3748
(307) 773-8112
(307) 773-8131
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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