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General NPI Number Information
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NPI Number | 1831294081
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Entity Type | Organization
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Legal Business Name | COLLEGE HILL HEALTH CENTER
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 03/11/2015
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Provider Practice Location Address
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Address Line | 3000 COLLEGE DR SUITE A
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-4202
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Country | US
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Telephone | 801-253-4103
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Fax | 801-931-2044
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Provider Business Mailing Address
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Address Line | 3000 COLLEGE DR SUITE A
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-4202
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Country | US
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Telephone | 801-253-4103
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Fax | 801-931-2044
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MALINDA WRIGHT
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Credential |
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Telephone | 801-253-4103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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