Jose Galarza

Individual provider Active NPI Community Health Worker · Worland, WY

NPI 1396474516 · NPPES record last updated Jun 6, 2022

Key facts

NPI
1396474516
Entity type
Individual (NPI type 1)
Primary specialty
Community Health Worker 172V00000X
Practice address
401 S 23Rd St
Worland, WY 82401-3725
Phone
(307) 347-6165
Fax
(307) 347-6166
NPI assigned
Jun 6, 2022
Sex
Male
Sole proprietor
No

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)CodeLicenseStatePrimary
Community Health Worker 172V00000X Yes

Addresses

Primary practice location

401 S 23Rd St
Worland, WY 82401-3725

Mailing address

401 S 23Rd St
Worland, WY 82401-3725
Phone (307) 347-6165

Other providers in Worland, WY

All providers in Worland, WY · Community Health Worker in Wyoming

Sources for this page

Verify at the official NPI Registry.