ARC OF WYOMING – NPI #1205369576
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

ARC OF WYOMING is a substance abuse rehabilitation facility located in ROCK SPRINGS, WY. NPPES has assigned the NPI number 1205369576 to ARC OF WYOMING on April 04, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ARC OF WYOMING” is a dba name, the actual legal business name for this organization is ICBM INC. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ARC OF WYOMING below.

NPI Profile for
ICBM INC

NPI Number
1205369576
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ICBM INC
Doing Business As (dba): ARC OF WYOMING
Primary location
1501 RED TAIL DR
ROCK SPRINGS, WY 82901-5879
Phone: (307) 362-6029 Fax: (307) 362-2379
Mailing address
126 ELK ST
ROCK SPRINGS, WY 82901-5241
Phone: (307) 362-6029 Fax: (307) 362-2379
Organization Subpart
No
Authorized Official
ELINA CHERNYAK
MEDICAL DIRECTOR
Phone: (970) 306-2737
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.