Meadows Outpatient Center Wyoming Llc | |
1712 Pioneer Ave Cheyenne WY 82001-4406 | |
(928) 684-4083 | |
Not Available |
Full Name | Meadows Outpatient Center Wyoming Llc |
---|---|
Speciality | Clinic/center - Adult Mental Health |
Location | 1712 Pioneer Ave, Cheyenne, Wyoming |
Authorized Official Name and Position | Tracy Livingston (VP OF REVENUE CYCLE) |
Authorized Official Contact | 6022563020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Meadows Outpatient Center Wyoming Llc 19820 N 7th St Ste 205 Phoenix AZ 85024-1694 Ph: (602) 256-3020 | Meadows Outpatient Center Wyoming Llc 1712 Pioneer Ave Cheyenne WY 82001-4406 Ph: (928) 684-4083 |
NPI Number | 1699423616 |
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Provider Enumeration Date | 03/17/2022 |
Last Update Date | 02/19/2024 |
Certification Date | 02/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1699423616 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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