Organization
HEART MOUNTAIN HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AYDA HAMANN (CEO)
(307) 587-3838
Entity
Organization
Contact information
Practice address
615 15TH ST # 3, CODY, WY 82414-3109
(307) 587-3838
(307) 587-2455
Mailing address
615 15TH ST # 3, PO BOX 1716, CODY, WY 82414-3109
(307) 587-3838
(307) 587-2455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13276
WY
225100000X
Physical Therapist
Primary
261
WY
251C00000X
Developmentally Disabled Services Day Training Agency
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Other
Enumeration date
02/01/2007
Last updated
09/11/2025
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