Organization
COUNTY OF BIG HORN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WILEY RN, BSN (NURSING MANAGER)
(307) 765-2371
Entity
Organization
Contact information
Practice address
417 S 2ND ST, GREYBULL, WY 82426-2235
(307) 765-2371
(307) 765-2381
Mailing address
417 S 2ND ST, GREYBULL, WY 82426-2235
(307) 765-2371
(307) 765-2381
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
08-082
WY
251K00000X
Public Health or Welfare Agency
Primary
08-082
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107222600
—
WY
05
—
107222602
—
WY
Enumeration date
09/13/2006
Last updated
06/30/2008
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