| 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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