Organization · NPI-2

High Country Behavioral Health

Clinic/Center, Mental Health (Including Community Mental Health Center) · Evanston, WY

NPI number1770859548
StatusActive
Last updated in NPPESJun 8, 2022

Details

NPI
1770859548
Entity type
Organization (NPI-2)
Legal business name
High Country Behavioral Health
Organization subpart
No
Enumeration date
Mar 27, 2012
Certification date
Jun 8, 2022
Last updated
Jun 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
291U00000X Clinical Medical Laboratory––
207Q00000X Family Medicine––
207QA0401X Family Medicine, Addiction Medicine––

Practice location

100 Yellowstone River Dr
Evanston, WY 82930-5371

Phone 307-789-4224 · Fax 307-789-4225

Mailing address

100 Yellowstone River Dr
Evanston, WY 82930-5371

Phone 307-789-4224 · Fax 307-789-4225

Authorized official

Kipp Dana
Executive Director
3078859883

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Evanston, WY