PPM WYOMING LLC NPI 1366289290

NPI Information

  • NPI: 1366289290
  • Provider Name: PPM WYOMING LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 770 S WASHINGTON ST STE B
    AFTON, WY
    ZIP 83110
  • Phone: (888) 253-6598

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NPI Details

PPM WYOMING LLC is a multi-specialty clinic center in Afton, WY. PPM WYOMING LLC NPI is 1366289290. The provider is registered as an organization entity type.

The provider's business location address is:

770 S WASHINGTON ST STE B
AFTON, WY
ZIP 83110-135
Phone: (888) 253-6598

The provider's authorized official is Amber Tueller .
The authorized official title is Corporate Secretary and has the following contact phone number (208) 401-1400.

The enumeration date for this NPI number is 7/9/2024 and was last updated on 7/9/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

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