GEM CITY BONE & JOINT PC NPI 1518947589

NPI Information

NPI: 1518947589
Provider Name: GEM CITY BONE & JOINT PC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1909 VISTA DR
LARAMIE, WY
ZIP 82070
Phone: (307) 745-8851
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GEM CITY BONE & JOINT PC is an ambulatory surgical clinic center in Laramie, WY. GEM CITY BONE & JOINT PC NPI is 1518947589. The provider is registered as an organization entity type.

The provider's business location address is:

1909 VISTA DR
LARAMIE, WY
ZIP 82070
Phone: (307) 745-8851
Fax: (307) 742-0961

The provider's authorized official is Jana Suazo .
The authorized official title is Director Of Human Resources and has the following contact phone number (307) 745-8851.

The enumeration date for this NPI number is 1/18/2006 and was last updated on 1/21/2021.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	06018	WYOMING	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	490003442	OTHER		RAILROAD MEDICARE
2	106251401	MEDICAID	WYOMING
3	303849	OTHER		BCBS
4	106251403	MEDICAID	WYOMING

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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