Magic City Enterprises, Inc

LBN: Magic City Enterprises, Inc
Magic City Enterprises, Inc is an health care organization with primary practice located at 1780 Westland Rd , Cheyenne WY 82001-3322. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Agencies / Day Training, Developmentally Disabled Services. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Magic City Enterprises, Inc can be contacted via phone (307) 637-8869, or through Liley, Mandy Jane via phone (307) 637-8869.

Contact Information

Primary practice address
1780 Westland Rd Cheyenne WY 82001-3322
Phone: (307) 637-8869
Fax: (307) 638-0467
Website:
Map and Directions
Authorized official contact:
Name: Liley, Mandy Jane
Phone: (307) 637-8869

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Clinical 103TC0700X Wyoming
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X Wyoming

Profile Details

NPI number 1386819308
LBN Legal business name Magic City Enterprises, Inc
DBA Doing business as
Authorized official Liley, Mandy Jane
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2008
Last updated Nov 17th, 2015 - about 9 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 1386819308 NPPES
Wyoming MEDICAID 100132911
Wyoming MEDICAID 100132912
Wyoming MEDICAID 100132901

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