LANDER MEDICAL CLINIC PC NPI 1932299690

NPI Information

  • NPI: 1932299690
  • Provider Name: LANDER MEDICAL CLINIC, PC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 53D0519922
  • Address: 745 BUENA VISTA
    LANDER, WY
    ZIP 82520
  • Phone: (307) 332-2941

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NPI Details

LANDER MEDICAL CLINIC, PC is a family medicine in Lander, WY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. LANDER MEDICAL CLINIC, PC NPI is 1932299690. The provider is registered as an organization entity type.

The provider's business location address is:

745 BUENA VISTA
LANDER, WY
ZIP 82520-431
Phone: (307) 332-2941
Fax: (307) 332-1920

The provider's authorized official is Ryan L Hedges .
The authorized official title is Ceo and has the following contact phone number (307) 332-2941.

The CLIA number assigned to this NPI record is 53D0519922 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 4/3/2015.

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
1332B00000XDurable Medical Equipment & Medical Supplies0823410001WYOMINGNo
2332B00000XDurable Medical Equipment & Medical SuppliesNo
3207Q00000XFamily MedicineWYOMINGYes

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
1CT0209OTHERWYOMINGMEDICARE RAILROAD RETIREM
2W4370062MEDICARE ID-TYPE UNSPECIFIEDWYOMING
30823410001OTHERWYOMINGMEDICARE DMEPOS
4106224700MEDICAIDWYOMING
50823410001MEDICARE NSCWYOMING
600975001OTHERWYOMINGBLUE SHIELD OF 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: 11/21/2025

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