Wyoming Wic Program

LBN: Wyoming Wic Program
Wyoming Wic Program is an health care organization with primary practice located at 6101 Yellowstone Road Suite 510, Cheyenne WY 82002-0001. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Wyoming Wic Program can be contacted via phone (307) 777-7494, or through Bouley, Jean A via phone (307) 777-7494.

Contact Information

Primary practice address
6101 Yellowstone Road Suite 510 Cheyenne WY 82002-0001
Phone: (307) 777-7494
Fax: (307) 777-5643
Website:
Map and Directions
Authorized official contact:
Name: Bouley, Jean A
Phone: (307) 777-7494

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X

Profile Details

NPI number 1366634396
LBN Legal business name Wyoming Wic Program
DBA Doing business as
Authorized official Bouley, Jean A
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2007
Last updated Jul 7th, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1366634396 NPPES
Wyoming MEDICAID 1366634396

Popular Providers