Healthcare Provider Details

I. General information

NPI: 1124043096
Provider Name (Legal Business Name): COUNTY OF ALBANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2006
Last Update Date: 07/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 S 2ND ST
LARAMIE WY
82070-3617
US

IV. Provider business mailing address

609 S 2ND ST
LARAMIE WY
82070-3617
US

V. Phone/Fax

Practice location:
  • Phone: 307-721-2561
  • Fax: 307-721-2565
Mailing address:
  • Phone: 307-721-2561
  • Fax: 307-721-2565

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number09-082
License Number StateWY

VIII. Authorized Official

Name: MRS. MARIANNE VINER
Title or Position: PUBLIC HEALTH DIRECTOR
Credential: RN
Phone: 307-721-2561