Early Intervention Program

LBN: Early Intervention Program
Early Intervention Program is an health care organization with primary practice located at 9 Shipton Lane , Fort Washakie WY 82514-0610. The organization recently has only one registered license in Agencies / Early Intervention Provider Agency, which is considered as the primary health care specialty. Early Intervention Program can be contacted via phone (307) 332-3516, or through Hines, Laurene via phone (307) 332-3516.

Contact Information

Primary practice address
9 Shipton Lane Fort Washakie WY 82514-0610
Phone: (307) 332-3516
Fax: (307) 332-9116
Website:
Map and Directions
Authorized official contact:
Name: Hines, Laurene
Phone: (307) 332-3516

Health care specialties

SpecialtyCodeLicense #State
Agencies / Early Intervention Provider Agency 252Y00000X 129040100 Wyoming

Profile Details

NPI number 1831581719
LBN Legal business name Early Intervention Program
DBA Doing business as
Authorized official Hines, Laurene
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2015
Last updated Apr 28th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831581719 NPPES
Wyoming MEDICAID 129040100

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