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Contact Information

HIGH COUNTRY BEHAVIORAL HEALTH
190 OVERTHRUST RD.
EVANSTON, WY82931-2910
 Phone: 307-789-4224
 Fax: 307-789-4225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Recovery Care

261QR0800X
 

Addiction Medicine

207QA0401X 08 Physician/Family Practice
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Rehabilitation, Substance Use Disorder

261QR0405X
Indicates primary specialty

NPI Profile & details for HIGH COUNTRY BEHAVIORAL HEALTH

NPI Number 1174805402
LBN Legal business name HIGH COUNTRY BEHAVIORAL HEALTH
Authorized official KIPP DANA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/13/2011
Last updated 06/07/2024 - More than a year ago
Identifiers
WY License # LAT-220
WY Medicaid 1891099545
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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