| Magellan Healthcare | |
|
8035 W Chalk Creek Rd Casper WY 82604-1744 | |
| (307) 265-8298 | |
| Not Available |
| Full Name | Magellan Healthcare |
|---|---|
| Speciality | Health Maintenance Organization |
| Location | 8035 W Chalk Creek Rd, Casper, Wyoming |
| Authorized Official Name and Position | Judith Ann Prewitt (PROVIDER) |
| Authorized Official Contact | 3072658298 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magellan Healthcare 8035 W Chalk Creek Rd Casper WY 82604-1744 Ph: (307) 265-8298 | Magellan Healthcare 8035 W Chalk Creek Rd Casper WY 82604-1744 Ph: (307) 265-8298 |
| NPI Number | 1245605344 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 12/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245605344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Wyoming) | Secondary |
| 302R00000X | Health Maintenance Organization | (Wyoming) | Primary |
News Archive
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