| Children's Hospital Colorado | |
|
419 S Washington St Ste 102 Casper WY 82601-2951 | |
| (307) 265-3611 | |
| Not Available |
| Full Name | Children's Hospital Colorado |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 419 S Washington St Ste 102, Casper, Wyoming |
| Authorized Official Name and Position | Linda Michael (VP, CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 7207776537 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Hospital Colorado 13123 E 16th Ave # B095 Aurora CO 80045-7106 Ph: (720) 777-1234 | Children's Hospital Colorado 419 S Washington St Ste 102 Casper WY 82601-2951 Ph: (307) 265-3611 |
| NPI Number | 1881268431 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881268431 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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