NPI | 1205308855 |
---|---|
Doing Business As | COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC PEDIATRICS |
Entity Type | Organization |
Authorized Contact | AMANDA SISCO Revenue Cycle Manager 307-233-6000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2018-12-20 |
Last Update Date | 2024-03-08 |