CASPER WY ENDOSCOPY ASC LLC NPI 1962477539

NPI Information

NPI: 1962477539
Provider Name: CASPER WY ENDOSCOPY ASC LLC

Doing Business As: STERLING SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1441 WILKINS CIR
CASPER, WY
ZIP 82601
Phone: (307) 265-1792
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CASPER WY ENDOSCOPY ASC LLC is an ambulatory surgical clinic center in Casper, WY. CASPER WY ENDOSCOPY ASC LLC NPI is 1962477539. The provider is registered as an organization entity type.
The provider Is Doing Business As Sterling Surgery Center.

The provider's business location address is:

1441 WILKINS CIR
CASPER, WY
ZIP 82601-337
Phone: (307) 265-1792
Fax: (307) 237-8106

The provider's authorized official is Phillip A Clendenin .
The authorized official title is President and has the following contact phone number (615) 665-1283.

The CLIA number assigned to this NPI record is 53D1032777 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/17/2006 and was last updated on 9/7/2023.

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	07-125	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	1210408-00	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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