Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jay B Old Coyote, PEERSPECIALIST

Individual provider Community Health Worker · NPI 1609220706

Jay B Old Coyote, PEERSPECIALIST is a Community Health Worker in St Stephens, Wyoming. Registered with an NPI since 2016.

In the registry since
2016
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Practice location Address checks out

#24 Great Plains Road White Buffalo Recovey Ctr
St Stephens, WY 82501-0038
Phone: (307) 865-0470
Fax: (307) 857-4383
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1609220706
Entity typeIndividual (Type 1)
GenderMale
Credentials PEERSPECIALIST
Sole proprietorNo
NPI enumeratedApril 15, 2016
Last updated in NPPESApril 15, 2016