BANNER MEDICAL CLINIC TORRINGTON LLC NPI 1871034637

NPI Information

NPI: 1871034637
Provider Name: BANNER MEDICAL CLINIC TORRINGTON LLC
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 53D2133127

Address:
625 ALBANY AVE
TORRINGTON, WY
ZIP 82240
Phone: (307) 532-2107
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BANNER MEDICAL CLINIC TORRINGTON LLC is a rural health clinic center in Torrington, WY. BANNER MEDICAL CLINIC TORRINGTON LLC NPI is 1871034637. The provider is registered as an organization entity type.

The provider's business location address is:

625 ALBANY AVE
TORRINGTON, WY
ZIP 82240-530
Phone: (307) 532-2107

The provider's authorized official is Dennis Dahlen .
The authorized official title is Sr. Vp Finance and has the following contact phone number (602) 747-4000.

The CLIA number assigned to this NPI record is 53D2133127 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/13/2017 and was last updated on 4/13/2017.

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	261QM1300X	Clinic/Center	Multi-Specialty			No
2	261QR1300X	Clinic/Center	Rural Health			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: 5/5/2024

NPI Synchronization or Removal

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