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General NPI Number Information
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NPI Number | 1558351536
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Entity Type | Organization
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Legal Business Name | WEST PARK HOSPITAL DISTRICT
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 10/27/2025
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Provider Practice Location Address
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Address Line | 707 SHERIDAN AVE
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City | CODY
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State | WY
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Zip | 82414-3409
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Country | US
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Telephone | 307-527-7501
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Fax | 307-578-2485
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Provider Business Mailing Address
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Address Line | 707 SHERIDAN AVE
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City | CODY
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State | WY
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Zip | 82414-3409
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Country | US
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Telephone | 307-527-7501
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Fax | 307-578-2485
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Authorized Official
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Title or Position | CFO
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Name | COBY LA BLUE
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Credential |
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Telephone | 307-578-2489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 07-158
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 06-003
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License Number State | WY
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