NORTHWEST WYOMING BOCES (NPI# 1639217144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639217144 |
| Entity Type | Organization |
| Organization Name | NORTHWEST WYOMING BOCES |
| Other Organization Name | BIG HORN BASIN CHILDREN'S CENTER |
| Practice Address |
250 East Arapahoe Street Thermopolis WY 82443 |
| Mailing Address |
250 E. Arapahoe P O Box 112 Thermopolis WY 82443 |
| Practice Telephone | 3078642171 |
| Practice Fax Number | 3078649463 |
| Mailing Telephone | 3078642171 |
| Mailing Fax Number | 3078649463 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CAROLYN J CONNER (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 3078645269 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 9601 | WY | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 11886601 | 05 |
| Other Name | Type Code |
|---|---|
| Big Horn Basin Children's Center | Other Name - Individual/Organization |
| Street Address |
250 EAST ARAPAHOE STREET |
| City | THERMOPOLIS |
| State | WY |
| Zip Code | 82443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992938419 | Garry Freel | Case Manager/Care Coordinator | 844 Richards St., Thermopolis, WY 82443 | 2009-09-01 |
| 1467600783 | Jantina Anna Manning | Speech-Language Pathologist | 130 Highway 20 South, Thermopolis, WY 82443 | 2008-08-28 |
| 1982882924 | Glenn E Bishop | Chiropractor | 526 Big Horn, Thermopolis, WY 82443 | 2008-02-01 |
| 1801080874 | Karen April Leyba | Speech-Language Pathologist | 1025 Shoshoni Rd, Thermopolis, WY 82443 | 2007-08-31 |
| 1043403199 | Marcia Ann Nelson | Occupational Therapist | 1025 Shoshoni, Childrens Resource Center, Thermopolis, WY 82443 | 2007-08-22 |
| 1144368366 | Guy C Drake | Dentist | 110 E Arapahoe, Thermopolis, WY 82443 | 2007-02-01 |
| 1245719475 | Mitchell F Volin | Physician Assistant | 120 N C Ave, Thermopolis, WY 82443 | 2018-08-08 |
| 1639586571 | Mary Margaret Brown | Dentist | 110 E Arapahoe, Thermopolis, WY 82443 | 2014-07-11 |
| 1679813554 | Joseph B. Stringer | Counselor | 121 S 4th St, Thermopolis, WY 82443 | 2013-02-28 |
| 1982932265 | Paintbrush Dental, PC | Clinic/Center | 110 E Arapahoe St, Thermopolis, WY 82443 | 2009-11-25 |
| Find all providers in zip 82443 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063890341 | Scott Clem | Residential Treatment Facility, Emotionally Disturbed Children | 905 N Gurley Ave, Gillette, WY 82716-2109 | 2015-05-07 |
| 1801159447 | Region V Boces | Residential Treatment Facility, Emotionally Disturbed Children | 3850 North Wilderness Drive, Wilson, WY 83014-0240 | 2012-06-19 |
| 1649431826 | Cornerstone Programs Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 3304 E I-80 Service Rd, Cheyenne, WY 82009-8781 | 2008-06-20 |
| 1437328663 | Northeast Wyoming Boces | Residential Treatment Facility, Emotionally Disturbed Children | 410 N Miller Ave, Gillette, WY 82716-2929 | 2008-02-21 |
| 1144414780 | Teton Youth and Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 7905 S. Fall Creek Rd., Wilson, WY 83014-0290 | 2007-08-28 |
| 1649493453 | Youth Emergency Services | Residential Treatment Facility, Emotionally Disturbed Children | 706 Longmont St, Gillette, WY 82716-2927 | 2007-04-10 |
| 1578685863 | C-v Ranch Region V Boces | Residential Treatment Facility, Emotionally Disturbed Children | 3850 N. Wilderness Dr., Wilson, WY 83014 | 2007-04-06 |
| 1174679195 | Normative Services, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5 Lane Lane, Sheridan, WY 82801-8630 | 2007-01-25 |
| 1831442201 | Region V Board of Cooperative Educational Services | Residential Treatment Facility, Emotionally Disturbed Children | 3850 North Wilderness Drive, Wilson, WY 83025 | 2012-10-22 |
| 1821370453 | Cornerstone Programs Corporation | Residential Treatment Facility, Emotionally Disturbed Children | 3304 E I-80 Service Rd, Cheyenne, WY 82009-8781 | 2011-09-09 |
| Find all providers with the same taxonomy | ||||
| City | THERMOPOLIS |
| Zip Code | 82443 |
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| 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.