Organization
COUNTY OF GOSHEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER M DITTMER BSN, RN (COUNTY NURSE MANAGER)
(307) 532-4069
Entity
Organization
Contact information
Practice address
2025 CAMPBELL DR, #1, TORRINGTON, WY 82240-1548
(307) 532-4069
(307) 532-4060
Mailing address
2025 CAMPBELL DR, #1, TORRINGTON, WY 82240-1548
(307) 532-4069
(307) 532-4060
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
07-162
WY
251K00000X
Public Health or Welfare Agency
07-162
WY
261QP0905X
State or Local Public Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107249800
—
WY
05
—
107249803
—
WY
05
—
109199900
—
WY
Enumeration date
07/23/2006
Last updated
07/01/2025
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