Develpmental Pediatric Services

LBN: Diane R Edwards
Develpmental Pediatric Services is an health care organization with primary practice located at 915 S David St , Casper WY 82601-3737. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Diane R Edwards can be contacted via phone (307) 472-3769, or through Edwards, Diane Rose via phone (307) 472-3769.

Contact Information

Primary practice address
915 S David St Casper WY 82601-3737
Phone: (307) 472-3769
Fax: (307) 472-3607
Website:
Map and Directions
Authorized official contact:
Name: Edwards, Diane Rose Doctor of Medicine (MD)
Phone: (307) 472-3769

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1538366075
LBN Legal business name Diane R Edwards
DBA Doing business as Develpmental Pediatric Services
Authorized official Edwards, Diane Rose Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 28th, 2007
Last updated Jul 27th, 2015 - about 11 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 1538366075 NPPES
Wyoming MEDICAID 112255000
Wyoming Other 1003982141

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