NPI 1245305804 · live from the CMS NPI Registry
Bridges Habilitation Services INC.
Non-Pharmacy Dispensing Site in Evanston, WY. National Provider Identifier 1245305804, active.
NPI record
| NPI | 1245305804 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Non-Pharmacy Dispensing Site 332900000X |
| Practice location | 100 Bear River Dr, Evanston, WY 82930 |
| Practice phone | 307-789-0664 |
| Mailing address | Po Box 1642, Evanston, WY 82931 |
| Enumerated | November 21, 2006 |
| Last updated | September 11, 2025 |
| Authorized official | David Canen, Ceo |
| Other names | Bridges |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | 115726400 (WY) |
| Registered Nurse | 163W00000X | 115726400 (WY) |
| Case Management | 251B00000X | 115726400 (WY) |
| Day Training, Developmentally Disabled Services | 251C00000X | 115726400 (WY) |
| Nursing Care | 251J00000X | 115726400 (WY) |
| Clinic/Center, Developmental Disabilities | 261QD1600X | 115726400 (WY) |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | 320900000X | 115726400 (WY) |
| Respite Care | 385H00000X | 115726400 (WY) |
| Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | 385HR2060X | 115726400 (WY) |
| Non-Pharmacy Dispensing Site primary | 332900000X | 115726400 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.