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CH086120 COMMUNITY HEALTH CENTER OF CENTRAL WYOMING, INC. (Active)
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Main Details
Name
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING, INC.
Subdivision Name
Community Health Center of Central Wyoming
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010142
340B ID
CH086120
Grant Number
H80CS00564
Additional Details
Current Program Status
Active
Registration Date
1/1/2001
Participating Start Date
1/1/2001
Participating Approval Date
10/22/2008
Last Recertification Date
2/18/2025
Contacts
Authorizing Official
Community Health Center of Central Wyoming, Inc.
Kevin Shea Lanham, CEO
(307) 233-6058
Primary Contact
Community Health Center of Central Wyoming
Michelle Carpenter, Pharmacy Manager
(307) 233-6050
Addresses
Street Address
5000 Blackmore Road
Casper, WY 82609
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/22/08 UPDATED MEDICAID#
01/08/2010
April 2025
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