Centricare Benefits LLC
Organization Active NPI Community/Behavioral Health Agency · Cheyenne, WY
NPI 1245022615 · NPPES record last updated May 20, 2025
Key facts
- NPI
- 1245022615
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- CENTRICARE BENEFITS LLC
- Practice address
- 1621 Central Ave
Cheyenne, WY 82001-4531 - Phone
- (214) 984-1306
- NPI assigned
- May 20, 2025
- Organization subpart
- No
Authorized official
- Name
- Elvis Mbunya
- Title
- Ceo
- Phone
- (214) 984-1306
Corporate family (same tax ID) 1
Practitioners 1
-
Elvis Mbunya, RN
National Provider Directory
- Tax ID family
- Centricare Benefits LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1621 Central Ave
Cheyenne, WY 82001-4531
Mailing address
1621 Central Ave
Cheyenne, WY 82001-4531
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All providers in Cheyenne, WY · Community/Behavioral Health Agency in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.