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UNIVERSITY OF WYOMING NPI 1639617061


NPI Information

NPI: 1639617061
Provider Name: UNIVERSITY OF WYOMING

Doing Business As: ALBANY COMMUNITY HEALTH CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 53D2132597

Address:
2710 HARNEY ST STE 202
LARAMIE, WY
ZIP 82072
Phone: (307) 766-3313
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UNIVERSITY OF WYOMING is a federally qualified health center (fqhc) clinic center in Laramie, WY. UNIVERSITY OF WYOMING NPI is 1639617061. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Albany Community Health Clinic.

The provider's business location address is:

2710 HARNEY ST STE 202
LARAMIE, WY
ZIP 82072-899
Phone: (307) 766-3313
Fax: (307) 766-3316

The provider's authorized official is Sara Dalton .
The authorized official title is Clinic Director and has the following contact phone number (307) 766-3313.

The CLIA number assigned to this NPI record is 53D2132597 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/6/2017 and was last updated on 3/1/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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