Organization
HIGH COUNTRY ORTHOTICS & PROSTHETICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY ARTHUR OSBORNE CO (OWNER)
(307) 234-4214
Entity
Organization
Contact information
Practice address
135 S WASHINGTON ST., CASPER, WY 82601-2738
(307) 234-4214
(307) 237-1228
Mailing address
135 S WASHINGTON ST., CASPER, WY 82601-2738
(307) 234-4214
(307) 237-1228
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119418600
MEDICAID DME
WY
01
—
312903
BLUECROSS BLUE SHIELD
WY
Enumeration date
06/22/2005
Last updated
01/04/2016
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