Healthcare Provider Details

I. General information

NPI: 1295709822
Provider Name (Legal Business Name): UHS OF WYOMING, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2006
Last Update Date: 12/08/2021
Certification Date: 12/08/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2521 E 15TH ST
CASPER WY
82609-4126
US

IV. Provider business mailing address

2521 E 15TH ST
CASPER WY
82609-4126
US

V. Phone/Fax

Practice location:
  • Phone: 307-237-7444
  • Fax:
Mailing address:
  • Phone: 307-237-7444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State

VIII. Authorized Official

Name: STEVE FILTON
Title or Position: CFO/ SR VP
Credential:
Phone: 610-768-3300