COLLEGE DRIVE URGENT CARE LLC NPI 1467601765

NPI Information

NPI: 1467601765
Provider Name: COLLEGE DRIVE URGENT CARE LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
4140A LARAMIE ST
CHEYENNE, WY
ZIP 82001
Phone: (307) 637-2800
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COLLEGE DRIVE URGENT CARE LLC is an urgent care clinic center in Cheyenne, WY. COLLEGE DRIVE URGENT CARE LLC NPI is 1467601765. The provider is registered as an organization entity type.

The provider's business location address is:

4140A LARAMIE ST
CHEYENNE, WY
ZIP 82001-969
Phone: (307) 637-2800
Fax: (307) 637-2867

The provider's authorized official is John Julian .
The authorized official title is President & Ceo and has the following contact phone number (480) 776-1600.

The enumeration date for this NPI number is 9/11/2008 and was last updated on 7/30/2021.

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	261QU0200X	Clinic/Center	Urgent Care			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	314338	OTHER	WYOMING	BSWY
2	315527	OTHER	WYOMING	BSWY
3	314332	OTHER	WYOMING	BLUE CROSS BLUE SHIELD
4	314333	OTHER	WYOMING	BLUE CROSS BLUE SHIELD

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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