NPIMap

Organization Active NPI

Northeast Wyoming Boces

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Gillette, WY
National Provider Identifier
1437328663
Registry record updated Feb 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
124 Issued in WY
Legal business name
NORTHEAST WYOMING BOCES
Practice address
410 N Miller Ave
Gillette, WY 82716-2929
Phone
(307) 682-0231
Fax
(307) 686-7628
NPI assigned
Feb 21, 2008
Last updated
Feb 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurie L Walsh
Title
Business Manager
Phone
(307) 682-0231

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 124 WY Primary

Addresses

Primary practice location

410 N Miller Ave
Gillette, WY 82716-2929

Mailing address

410 N Miller Ave
Gillette, WY 82716-2929
Phone (307) 682-0231

National Provider Directory

National Provider Directory
Tax ID family
Northeast Wyoming Boces3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203552000000",
    "number": "1437328663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N MILLER AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827162929",
            "telephone_number": "307-682-0231",
            "fax_number": "307-686-7628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MILLER AVE",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827162929",
            "telephone_number": "307-682-0231",
            "fax_number": "307-686-7628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST WYOMING BOCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-21",
        "last_updated": "2008-02-21",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "307-682-0231"
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "WY",
            "license": "124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gillette, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.