UNIVERSITY OF WYOMING STUDENT HEALTH SERVICE; NPI #1922112374

Contact Information

UNIVERSITY OF WYOMING STUDENT HEALTH SERVICE

1000 E. UNIVERSITY AVE
DEPT. 3068
LARAMIE, WY 82071

Phone: 307-766-2130
Fax: 307-766-2711
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Student Health	261QS1000X

Indicates primary specialty

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NPI Profile & details for UNIVERSITY OF WYOMING STUDENT HEALTH SERVICE

NPI Number 1922112374

LBN Legal business name UNIVERSITY OF WYOMING STUDENT HEALTH SERVICE

Authorized official MARY BENDER - (M.D./DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 08/19/2006

Last updated 02/12/2021 - About 5 years ago

Identifiers

WY	Medicaid	107362102
WY	Medicaid	107362103

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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