NPI Index

JAY OLD COYOTE, PEER SPECIALIST

Community Health Worker

Active Individual
NPI: 1609220706

Practice Address

#24 GREAT PLAINS ROAD
WHITE BUFFALO RECOVEY CENTER
St Stephens, WY 82501

Phone: (307) 865-0470

Specialties

Specialty Code Primary License
Community Health Worker 172V00000X Yes -

Frequently Asked Questions

NPI 1609220706 is the National Provider Identifier for JAY OLD COYOTE, PEER SPECIALIST, a Community Health Worker provider located in St Stephens, WY. This NPI was enumerated on April 15, 2016.
JAY OLD COYOTE, PEER SPECIALIST practices at #24 GREAT PLAINS ROAD, WHITE BUFFALO RECOVEY CENTER, St Stephens, WY 82501.

Quick Facts

NPI
1609220706
Type
Individual
Enumerated
Apr 15, 2016
Last Updated
Apr 15, 2016

Nearby Providers