Organization
WYOMING WIC PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN A BOULEY (ADMINISTRATIVE SPECIALIST 3)
(307) 777-7494
Entity
Organization
Contact information
Practice address
6101 YELLOWSTONE ROAD, SUITE 510, CHEYENNE, WY 82002-0001
(307) 777-7494
(307) 777-5643
Mailing address
6101 YELLOWSTONE ROAD, SUITE 510, CHEYENNE, WY 82002-0001
(307) 777-7494
(307) 777-5643
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366634396
—
WY
Enumeration date
08/14/2007
Last updated
07/07/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us