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CHC330723-00 UNIVERSITY OF WYOMING (Active)
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Main Details
Name
UNIVERSITY OF WYOMING
Subdivision Name
University of Wyoming Family Medicine Residency Casper
Type
HRSA-Funded Health Center
Site ID
BPS-H80-019630
340B ID
CHC330723-00
Grant Number
H80CS30723
Additional Details
Current Program Status
Active
Registration Date
7/12/2017
Participating Start Date
10/1/2017
Participating Approval Date
7/13/2017
Last Recertification Date
3/10/2025
Contacts
Authorizing Official
University of Wyoming
Farrell J Rapp, Director Research Services
(307) 766-5320
Primary Contact
University of Wyoming
Jonnie M Jenkins, CFO
(307) 766-3010
Addresses
Street Address
1522 E A St
Casper, WY 82601-2217
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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April 2025
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