Organization · NPI-2

Community Health Center Of Central Wyoming INC

Pharmacy, Clinic Pharmacy · Casper, WY

NPI number1073673042
StatusActive
Last updated in NPPESMay 20, 2026

Details

NPI
1073673042
Entity type
Organization (NPI-2)
Legal business name
Community Health Center Of Central Wyoming INC
Organization subpart
No
Enumeration date
Dec 11, 2006
Certification date
May 20, 2026
Last updated
May 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0002X Pharmacy, Clinic Pharmacy5201621WYYes
333600000X Pharmacy––
3336C0003X Pharmacy, Community/Retail Pharmacy––

Other names

  • Community Health Center Of Central Wyoming (Doing Business As)

Practice location

5000 Blackmore Rd
Casper, WY 82609-3345

Phone 307-233-6050 · Fax 307-233-6087

Mailing address

5000 Blackmore Rd
Casper, WY 82609-3345

Phone 307-233-6050 · Fax 307-233-6087

Authorized official

Kevin S Lanham
Ceo
3072336000

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