WYOMING HEALTH MEDICAL GROUP LLC NPI 1376210989

NPI Information

NPI: 1376210989
Provider Name: WYOMING HEALTH MEDICAL GROUP, LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 53D2189398

Address:
1020 E 2ND ST STE 201
CASPER, WY
ZIP 82601
Phone: (307) 233-0250
Get Directions

WYOMING HEALTH MEDICAL GROUP, LLC is a multi-specialty clinic center in Casper, WY. WYOMING HEALTH MEDICAL GROUP, LLC NPI is 1376210989. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1020 E 2ND ST STE 201
CASPER, WY
ZIP 82601-955
Phone: (307) 233-0250

The provider's authorized official is Dennis Laraway .
The authorized official title is Cfo and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 53D2189398 - health fair with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2021 and was last updated on 1/13/2022.

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
1	2084N0400X	Psychiatry & Neurology	Neurology			No
2	261QM1300X	Clinic/Center	Multi-Specialty			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

NPI Synchronization or Removal

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