1639217144 NPI number — NORTHWEST WYOMING BOCES

Table of content: (NPI 1639217144)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1639217144 NPI number — NORTHWEST WYOMING BOCES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTHWEST WYOMING BOCES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1639217144
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
250 E. ARAPAHOE
Provider Second Line Business Mailing Address:
P O BOX 112
Provider Business Mailing Address City Name:
THERMOPOLIS
Provider Business Mailing Address State Name:
WY
Provider Business Mailing Address Postal Code:
82443
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
307-864-2171
Provider Business Mailing Address Fax Number:
307-864-9463

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
250 EAST ARAPAHOE STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
THERMOPOLIS
Provider Business Practice Location Address State Name:
WY
Provider Business Practice Location Address Postal Code:
82443
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
307-864-2171
Provider Business Practice Location Address Fax Number:
307-864-9463
Provider Enumeration Date:
02/05/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CONNER
Authorized Official First Name:
CAROLYN
Authorized Official Middle Name:
J
Authorized Official Title or Position:
ADMINISTRATIVE DIRECTOR
Authorized Official Telephone Number:
307-864-5269

Provider Taxonomy Codes

  • Taxonomy code: 322D00000X , with the licence number:  9601 , registered in the state of WY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 11886601 , issued by the state of ( WY ) . This identifiers is of the category "MEDICAID".




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