Mike Mahoney
Individual provider Active NPI Case Manager/Care Coordinator · Riverton, WY
NPI 1245463249 · NPPES record last updated Aug 25, 2009
Key facts
- NPI
- 1245463249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 1502 E Pershing Ave
Riverton, WY 82501-3833 - Phone
- (307) 857-3555
- NPI assigned
- Aug 25, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
1502 E Pershing Ave
Riverton, WY 82501-3833
Mailing address
1502 E Pershing Ave
Riverton, WY 82501-3833
Phone (307) 857-3555
Other providers in Riverton, WY
- Rory Luther
- Dawn Renee' Mabrouk
- Harold Macon
- Timalee Madson
- Magellan Healthcare of Wyoming
- Paula Lynne Markowski
- Tonya Dawn Martin
- Mary Jo Jeffres PHD, LLC
- Phillip Mathews
- Cyndi McAuslan
All providers in Riverton, WY · Case Manager/Care Coordinator in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2009. 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.