STATE OF WYOMING (NPI# 1023154564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023154564 |
| Entity Type | Organization |
| Organization Name | STATE OF WYOMING |
| Other Organization Name | WYOMING STATE TRAINING SCHOOL |
| Practice Address |
8204 State Highway 789 Lander WY 82520-2941 |
| Practice Telephone | 3073356719 |
| Practice Fax Number | 3073356987 |
| Mailing Telephone | 3073356719 |
| Mailing Fax Number | 3073356987 |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2013-12-31 |
| Authorized Official Name | KEVIN KULOW (OPERATIONS MGR) |
| Authorized Official Telephone | 3073356762 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3336I0012X |
Pharmacy Specialization: Institutional Pharmacy |
5202926IP | WY | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 100180900 | 05 | |
| WY | 100180901 | 05 | |
| PK | 2111516 | 01 |
| Other Name | Type Code |
|---|---|
| WYOMING STATE TRAINING SCHOOL | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337990 | State of Wyoming | Skilled Nursing Facility | 8204 Wyoming Highway 789, Lander, WY 82520-2941 | 2020-05-13 |
| 1659328821 | State of Wyoming | Skilled Nursing Facility | 890 Highway 20 S, Basin, WY 82410-9587 | 2006-05-31 |
| 1316011562 | State of Wyoming | General Practice | 831 State Highway 150 S, Evanston, WY 82930-5340 | 2006-11-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF WYOMING PUBLIC DEFENDERS | 316 W 22nd St, Cheyenne, WY 82001-3676 |
| Street Address |
8204 STATE HIGHWAY 789 |
| City | LANDER |
| State | WY |
| Zip Code | 82520-2941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134297310 | Sandra Slade Mossbrook | General Practice | 8204 State Highway 789, Lander, WY 82520-2941 | 2006-12-04 |
| 1427189679 | Sanjida Hasan | General Practice | 8204 State Highway 789, Lander, WY 82520-2941 | 2007-03-08 |
| 1700949278 | Wyoming Life Resource Center | Intermediate Care Facility, Mentally Retarded | 8204 State Highway 789, Lander, WY 82520-2941 | 2006-12-18 |
| 1366501561 | Wyoming Life Resource Center | Intermediate Care Facility, Mentally Retarded | 8204 State Highway 789, Lander, WY 82520-2941 | 2006-12-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689288201 | Wind River Wraparound | Community/Behavioral Health | 16 Sandhills Rd., Lander, WY 82520 | 2020-09-01 |
| 1346700622 | Wind River Family & Community Health Care | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 510 Ethete Rd., Ethete, WY 82520 | 2019-03-22 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1780103614 | John Thomas Scarince | Case Manager/Care Coordinator | 748 Main, Lander, WY 82520 | 2017-09-12 |
| 1326560780 | Benessere Clinic LLC | Specialist | 195 Capitol St., Lander, WY 82520 | 2017-07-07 |
| 1881134500 | Susan Kreager | Nutritionist | 643 Blue Sky Hwy 132, Ethete, WY 82520 | 2017-02-28 |
| 1346792298 | Elisabeth Krause | Clinic/Center | 65 N, Granier Ave, Atlantic City, WY 82520 | 2016-10-26 |
| 1649640368 | Melinda Kay Cox | Day Training, Developmentally Disabled Services | 382 Washakie, Lander, WY 82520 | 2015-10-07 |
| 1942602677 | Carmen Champlin | Registered Nurse | 397 S 5th, Lander, WY 82520 | 2014-09-25 |
| 1366867806 | Kelly Johnson | Social Worker | 7324 Highway 789, Lander, WY 82520 | 2014-02-20 |
| Find all providers in zip 82520 | ||||
| Taxonomy Code | 3336I0012X |
| Grouping | Suppliers |
| Classification | Pharmacy |
| Specialization | Institutional Pharmacy |
| A pharmacy in a hospital (inpatient) or institution used by pharmacists for the compounding and delivery of medicinal preparations to be administered to the patient by nursing or other authorized personnel. Institutional Pharmacies also counsel patients and caregivers; administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518050947 | Weston County Hospital District | Pharmacy | 1124 Washington Blvd, Newcastle, WY 82701-2972 | 2006-09-30 |
Please comment or provide details below to improve the information on STATE OF WYOMING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.