Provider Demographics
NPI:1922152826
Name:WESTERN WYOMING FAMILY PLANNING
Entity Type:Organization
Organization Name:WESTERN WYOMING FAMILY PLANNING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:REDDICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-362-6813
Mailing Address - Street 1:809 THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901-7272
Mailing Address - Country:US
Mailing Address - Phone:307-362-6813
Mailing Address - Fax:307-362-6791
Practice Address - Street 1:809 THOMPSON ST
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901-7272
Practice Address - Country:US
Practice Address - Phone:307-362-6813
Practice Address - Fax:307-362-6791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYMN0455762261QA0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility