Healthcare Provider Details

I. General information

NPI: 1184740979
Provider Name (Legal Business Name): CITY OF CASPER-NATRONA COUNTY HEALTH DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 S. SPRUCE ST
CASPER WY
82601-1759
US

IV. Provider business mailing address

475 S. SPRUCE ST.
CASPER WY
82601-1759
US

V. Phone/Fax

Practice location:
  • Phone: 307-235-9340
  • Fax: 307-237-2036
Mailing address:
  • Phone: 307-235-9340
  • Fax: 307-237-2036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateWY
# 3
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. KELLY WEIDENBACH
Title or Position: DIRECTOR
Credential: PH, MPH
Phone: 307-235-9340