Amanda Campbell

Individual provider Active NPI Case Manager/Care Coordinator · Casper, WY

NPI 1053935783 · NPPES record last updated May 28, 2020

Key facts

NPI
1053935783
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1656 E 12TH St
Casper, WY 82601-4004
Phone
(307) 577-5718
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Youth Crisis Center, Inc Past
since May 31, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1656 E 12TH St
Casper, WY 82601-4004

Mailing address

1656 E 12TH St
Casper, WY 82601-4004
Phone (307) 577-5718

Other providers in Casper, WY

All providers in Casper, WY · Case Manager/Care Coordinator in Wyoming

Sources for this page

Verify at the official NPI Registry.