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CENTRAL WYOMING OUTPATIENT SURGERY CENTER LLC NPI 1174520993


NPI Information

NPI: 1174520993
Provider Name: CENTRAL WYOMING OUTPATIENT SURGERY CENTER, LLC

Doing Business As: CASPER SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 53D0977423

Address:
1201 E 3RD ST
CASPER, WY
ZIP 82601
Phone: (307) 577-2950
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CENTRAL WYOMING OUTPATIENT SURGERY CENTER, LLC is an ambulatory surgical clinic center in Casper, WY. CENTRAL WYOMING OUTPATIENT SURGERY CENTER, LLC NPI is 1174520993. The provider is registered as an organization entity type.
The provider Is Doing Business As Casper Surgical Center.

The provider's business location address is:

1201 E 3RD ST
CASPER, WY
ZIP 82601-932
Phone: (307) 577-2950
Fax: (307) 577-2954

The provider's authorized official is James Sigler .
The authorized official title is Administrator and has the following contact phone number (307) 577-2964.

The CLIA number assigned to this NPI record is 53D0977423 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 6/23/2010.


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
1261QA1903XClinic/CenterAmbulatory Surgical06-007WYOMINGYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1115663200MEDICAIDWYOMING
2W308554MEDICARE UPINWYOMING

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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