Healthcare Provider Details

I. General information

NPI: 1629121330
Provider Name (Legal Business Name): COMMUNITY ACTION PARTNERSHIP OF NATRONA COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 WILKINS CIR STE A
CASPER WY
82601-1336
US

IV. Provider business mailing address

1430 WILKINS CIR STE A
CASPER WY
82601-1336
US

V. Phone/Fax

Practice location:
  • Phone: 307-235-6116
  • Fax: 307-235-0249
Mailing address:
  • Phone: 304-232-0124
  • Fax: 307-232-0145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number StateWY

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier119137300
Identifier TypeMEDICAID
Identifier StateWY
Identifier Issuer
# 2
Identifier119137301
Identifier TypeOTHER
Identifier StateWY
Identifier IssuerWY BREAST AND CERVICAL

VIII. Authorized Official

Name: KELLY DIANA WESSELS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 307-232-0124