HIGH COUNTRY BEHAVIORAL HEALTH NPI 1710269048

NPI Information

NPI: 1710269048
Provider Name: HIGH COUNTRY BEHAVIORAL HEALTH
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
389 ADAMS STREET
AFTON, WY
ZIP 83110
Phone: (307) 885-9883
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HIGH COUNTRY BEHAVIORAL HEALTH is a rehabilitation and substance use disorder clinic center in Afton, WY. HIGH COUNTRY BEHAVIORAL HEALTH NPI is 1710269048. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

389 ADAMS STREET
AFTON, WY
ZIP 83110-376
Phone: (307) 885-9883
Fax: (307) 885-5206

The provider's authorized official is Kipp Dana .
The authorized official title is Executive Director and has the following contact phone number (307) 885-9883.

The enumeration date for this NPI number is 9/13/2011 and was last updated on 6/8/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine				No
2	207QA0401X	Family Medicine	Addiction Medicine			No
3	291U00000X	Clinical Medical Laboratory				No
4	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	LAT-220	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1457472754	MEDICAID	WYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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