National Provider Identifier Database

HIGH COUNTRY BEHAVIORAL HEALTH
Recovery Care


Contact Information

HIGH COUNTRY BEHAVIORAL HEALTH
821 SAGE AVE
KEMMERER, WY83101-3113
Phone: 307-877-4466
Fax: 307-789-9832
Website:
Specialty Taxonomy Code
* Recovery Care 261QR0800X
Addiction Medicine 207QA0401X
Clinical Medical Laboratory 291U00000X
Family Medicine 207Q00000X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for HIGH COUNTRY BEHAVIORAL HEALTH

NPI Number 1790067031
Legal business name
LBN
HIGH COUNTRY BEHAVIORAL HEALTH
Authorized official KIPP DANA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 09/13/2011
Last updated 06/07/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • WY License #: LAT-220
  • WY Medicaid: 1972624062

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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