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CH0814640 CHEYENNE HEALTH AND WELLNESS CENTER (Active)
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Main Details
Name
CHEYENNE HEALTH AND WELLNESS CENTER
Subdivision Name
CHEYENNE HEALTH AND WELLNESS CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-005565
340B ID
CH0814640
Grant Number
H80CS04196
Additional Details
Current Program Status
Active
Registration Date
7/1/2005
Participating Start Date
7/1/2005
Participating Approval Date
8/8/2005
Last Recertification Date
2/21/2025
Contacts
Authorizing Official
Cheyenne Health & Wellness Center dba HealthWorks
Tracy Woodhouse Brosius, Chief Executive Officer
(307) 635-3618 Ext: 1070
Primary Contact
Cheyenne Health & Wellness Center dba HealthWorks
Kristen Lovas, Pharmacist-in-Charge
(307) 635-3618 Ext: 1050
Addresses
Street Address
2508 EAST FOX FARM ROAD STE 1-1A
CHEYENNE, WY 82007
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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NEW SITE FOR 07/01/2005, 8/8/05 - NEW FAX #
04/09/2009
April 2025
April 2025
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