| Cougar Community Health Center | |
|
223 N Cherry St Pavillion WY 82523-5005 | |
| (307) 856-7970 | |
| (307) 856-3385 |
| Full Name | Cougar Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 223 N Cherry St, Pavillion, Wyoming |
| Authorized Official Name and Position | Tamra Munsell (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 3072336092 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cougar Community Health Center 5000 Blackmore Rd Casper WY 82609-3345 Ph: (307) 233-6000 | Cougar Community Health Center 223 N Cherry St Pavillion WY 82523-5005 Ph: (307) 856-7970 |
| NPI Number | 1457823007 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 03/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457823007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |