MEDICARE: COMMUNITY ACTION PARTNERSHIP OF NATRONA COUNTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	208D00000X	General Practice Physician
2	261QF0400X	Federally Qualified Health Center (FQHC)
3	261QF0400X	Federally Qualified Health Center (FQHC)	WY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	119137301	OTHER	WY	WY BREAST AND CERVICAL

General Provider Information

NPI Number	:	1629121330
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMMUNITY ACTION PARTNERSHIP OF NATRONA COUNTY

Provider Business Mailing Address
First Line	:	1430 WILKINS CIR STE A
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-1336
Country	:	US
Telephone Number	:	307-232-0124
Fax Number	:	307-232-0145

Provider Business Practice Location Address
First Line	:	1430 WILKINS CIR STE A
Second Line	:
City	:	CASPER
State	:	WY
Zip	:	82601-1336
Country	:	US
Telephone Number	:	307-235-6116
Fax Number	:	307-235-0249

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KELLY DIANA WESSELS
Credential	:
Telephone Number	:	307-232-0124

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	12/16/2025

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Directions to “COMMUNITY ACTION PARTNERSHIP OF NATRONA COUNTY ” Practice Location

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