Organization
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARL J HARRIS (DIRECTOR OF OPERATIONS)
(307) 233-6022
Entity
Organization
Contact information
Practice address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
Mailing address
5000 BLACKMORE RD, CASPER, WY 82609-3345
(307) 233-6000
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1152611-00
—
WY
Enumeration date
10/11/2018
Last updated
03/28/2022
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