Brain Injury Alliance Of Wyoming

LBN: Brain Injury Association Of Wyoming
Brain Injury Alliance Of Wyoming is an health care organization with primary practice located at 350 Big Horn Rd , Casper WY 82601-1782. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Agencies / Day Training, Developmentally Disabled Services. Behavioral Health & Social Service Providers / Behavioral Analyst is the primary health care specialty. Brain Injury Association Of Wyoming can be contacted via phone (307) 473-1767, or through Cubbedge, Daniel via phone (307) 473-1767.

Contact Information

Primary practice address
350 Big Horn Rd Casper WY 82601-1782
Phone: (307) 473-1767
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Cubbedge, Daniel
Phone: (307) 473-1767

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1003220096
LBN Legal business name Brain Injury Association Of Wyoming
DBA Doing business as Brain Injury Alliance Of Wyoming
Authorized official Cubbedge, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2014
Last updated May 7th, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003220096 NPPES
Wyoming MEDICAID 214737800
Wyoming MEDICAID 139437100
Wyoming MEDICAID 221397400
Wyoming MEDICAID 139437101

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