Provider Demographics
NPI:1639282874
Name:COUNTY OF WASHAKIE
Entity Type:Organization
Organization Name:COUNTY OF WASHAKIE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LORI
Authorized Official - Middle Name:L
Authorized Official - Last Name:SCHAAL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:307-347-3278
Mailing Address - Street 1:1007 ROBERTSON AVE
Mailing Address - Street 2:
Mailing Address - City:WORLAND
Mailing Address - State:WY
Mailing Address - Zip Code:82401-2720
Mailing Address - Country:US
Mailing Address - Phone:307-347-3278
Mailing Address - Fax:307-347-3270
Practice Address - Street 1:1007 ROBERTSON AVE
Practice Address - Street 2:
Practice Address - City:WORLAND
Practice Address - State:WY
Practice Address - Zip Code:82401-2720
Practice Address - Country:US
Practice Address - Phone:307-347-3278
Practice Address - Fax:307-347-3270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-15
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
WY107313300Medicaid
WY107313301Medicaid