Volunteers Of America Northern Rockies | |
521 W Lott St Buffalo WY 82834-1642 | |
(307) 684-5531 | |
(307) 684-2912 |
Full Name | Volunteers Of America Northern Rockies |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 521 W Lott St, Buffalo, Wyoming |
Authorized Official Name and Position | Kelly Buckingham (VP OF IT AND COMPLIANCE) |
Authorized Official Contact | 3076720475 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Volunteers Of America Northern Rockies 521 W Lott St Buffalo WY 82834-1642 Ph: (307) 684-5531 | Volunteers Of America Northern Rockies 521 W Lott St Buffalo WY 82834-1642 Ph: (307) 684-5531 |
NPI Number | 1386798239 |
---|---|
Provider Enumeration Date | 01/22/2007 |
Last Update Date | 04/01/2023 |
Certification Date | 04/01/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386798239 | NPI | - | NPPES |
W4370109 | Other | WY | MEDICARE ID PTAN |
00718001 | Other | WY | BCBS |
106072406 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Wyoming) | Primary |
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