Organization · NPI-2

Community Health Center Of Central Wyoming INC

Pharmacy, Clinic Pharmacy · Casper, WY

NPI number1629543152
StatusActive
Last updated in NPPESMay 20, 2026

Details

NPI
1629543152
Entity type
Organization (NPI-2)
Legal business name
Community Health Center Of Central Wyoming INC
Organization subpart
No
Enumeration date
Oct 11, 2018
Certification date
May 20, 2026
Last updated
May 20, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
3336C0002X Pharmacy, Clinic Pharmacy––Yes

Practice location

5000 Blackmore Rd
Casper, WY 82609-3345

Phone 307-233-6000

Mailing address

5000 Blackmore Rd
Casper, WY 82609-3345

Phone 307-233-6000

Authorized official

Kevin S Lanham
Ceo
3072336058

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