Provider Demographics
NPI:1184611089
Name:NOYES HEALTH CARE CENTER INC
Entity type:Organization
Organization Name:NOYES HEALTH CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-383-7000
Mailing Address - Street 1:POB 307
Mailing Address - Street 2:305 WHIPPOORWILL ST
Mailing Address - City:BAGGS
Mailing Address - State:WY
Mailing Address - Zip Code:82321-0307
Mailing Address - Country:US
Mailing Address - Phone:307-383-7000
Mailing Address - Fax:307-383-7005
Practice Address - Street 1:305 WHIPPOORWILL ST
Practice Address - Street 2:POB 307
Practice Address - City:BAGGS
Practice Address - State:WY
Practice Address - Zip Code:82321-0307
Practice Address - Country:US
Practice Address - Phone:307-383-7000
Practice Address - Fax:307-383-7005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-05
Last Update Date:2010-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO37254014Medicaid
WY304215OtherBLUE CROSS
WY106495900Medicaid
WY304215OtherBLUE CROSS
WY106495900Medicaid
WY533804Medicare Oscar/Certification