WHITE BUFFALO RECOVERY CENTER (NPI# 1902213093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902213093 |
| Entity Type | Organization |
| Organization Name | WHITE BUFFALO RECOVERY CENTER |
| Practice Address |
#22 Great Plains Rd Arapahoe WY 82510 |
| Mailing Address |
Po Box 190 St Stephens WY 82524-0190 |
| Practice Telephone | 3078560470 |
| Practice Fax Number | 3078574383 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2014-07-21 |
| Authorized Official Name | SUNNY GOGGLES (DIRECTOR) |
| Authorized Official Telephone | 3078560470 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Street Address |
#22 GREAT PLAINS RD |
| City | ARAPAHOE |
| State | WY |
| Zip Code | 82510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396307955 | Destinee Autumn Jara | Community Health Worker | #24 Great Plains Rd., Arapahoe, WY 82510 | 2019-07-03 |
| 1376004663 | Wind River Family & Community Health Care | Clinic/Center | 10266 Hwy 789, Arapahoe, WY 82510 | 2019-03-28 |
| 1043747181 | Caroline Lamar Pihl | Family Medicine | 14 Great Plains Road Wind River Family & Community Heal, Arapahoe, WY 82510 | 2017-05-19 |
| 1427402239 | Emily Delorme | Community Health Worker | 24 Great Plains Road, Arapahoe, WY 82510 | 2016-04-18 |
| 1780038984 | Evelyn Jimenez | Case Manager/Care Coordinator | #24 Great Plains Road, Arapahoe, WY 82510 | 2016-04-14 |
| 1972965523 | Crystal P Brown | Case Manager/Care Coordinator | 24 Great Plains Rd, Arapahoe, WY 82510 | 2016-03-23 |
| 1326454067 | Rachael Munoz | Counselor | 24 Great Plains Rd., Arapahoe, WY 82510 | 2014-07-02 |
| 1174938666 | Jane Dewey | Case Manager/Care Coordinator | 22 Great Plains Rd, Arapaho, WY 82510 | 2014-06-24 |
| 1477893253 | Mindy Rae Pomeroy | Spec/Tech, Pathology | 14 Great Plains Rd., Arapaho, WY 82510 | 2013-02-15 |
| 1689827966 | Jennifer L Gardner | Registered Nurse | 14 Great Plain Road, Arapahoe, WY 82510 | 2008-10-30 |
| Find all providers in zip 82510 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578765749 | With Eagle's Wings | Clinic/Center | 11 Great Plain Road, Arapahoe, WY 82524-0197 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558837682 | Chrysalis Treatment Center, Inc. | Clinic/Center | 137 S Division St, Powell, WY 82435-2409 | 2018-10-16 |
| 1518346709 | High Country Behavioral Health | Clinic/Center | 1050 North Highway 414, Mountain View, WY 82939-0458 | 2015-05-21 |
| 1255604856 | High Country Behavioral Health | Clinic/Center | 830 Highway 150 S, Evanston, WY 82930-5341 | 2012-02-14 |
| 1124302005 | Northern Wyoming Mental Health Center, Inc. | Clinic/Center | 420 1/2 Main St, Sundance, WY 82729 | 2011-10-10 |
| 1174805402 | High Country Behavioral Health | Clinic/Center | 190 Overthrust Rd., Evanston, WY 82931-2910 | 2011-09-13 |
| 1891099545 | High Country Behavioral Health | Clinic/Center | 75 Yellow Creek Rd., Ste 105, Evanston, WY 82930-5205 | 2011-01-10 |
| 1265751309 | Eastern Shoshone Recovery | Clinic/Center | #7 Shipton Lane, Fort Washakie, WY 82514-0538 | 2010-05-28 |
| 1881919751 | Shoshone & Arapaho Tribal Substance Abuse Court | Clinic/Center | 215 Ethete Rd, Fort Washakie, WY 82514 | 2010-04-02 |
| 1316151053 | Solutions for Life | Clinic/Center | 905 S Main St., Lusk, WY 82225 | 2007-05-10 |
| 1013133198 | Cheyenne Community Drug Abuse Treatment Council, Inc. | Clinic/Center | 1920 Thomes Ave, Suite 320, Cheyenne, WY 82001-3542 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
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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.