Healthcare Provider Details

I. General information

NPI: 1639282874
Provider Name (Legal Business Name): COUNTY OF WASHAKIE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2006
Last Update Date: 10/30/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1007 ROBERTSON AVE
WORLAND WY
82401-2720
US

IV. Provider business mailing address

1007 ROBERTSON AVE
WORLAND WY
82401-2720
US

V. Phone/Fax

Practice location:
  • Phone: 307-347-3278
  • Fax: 307-347-3270
Mailing address:
  • Phone: 307-347-3278
  • Fax: 307-347-3270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LORI L SCHAAL
Title or Position: NURSING MANAGER
Credential: RN
Phone: 307-347-3278