Provider Demographics
NPI:1124043096
Name:COUNTY OF ALBANY
Entity Type:Organization
Organization Name:COUNTY OF ALBANY
Other - Org Name:ALBANY COUNTY PUBLIC HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PUBLIC HEALTH DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:VINER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:307-721-2561
Mailing Address - Street 1:609 S 2ND ST
Mailing Address - Street 2:
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82070-3617
Mailing Address - Country:US
Mailing Address - Phone:307-721-2561
Mailing Address - Fax:307-721-2565
Practice Address - Street 1:609 S 2ND ST
Practice Address - Street 2:
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82070-3617
Practice Address - Country:US
Practice Address - Phone:307-721-2561
Practice Address - Fax:307-721-2565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-13
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY09-082251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY107217000Medicaid