WMC Clinic

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WMC CLINIC

Practice address

1405 Howell Ave
Worland, WY 82401-4127

Phone

(307) 347-2555

Fax

(307) 347-2597

NPI assigned

Jun 30, 2006

Organization subpart

Yes

Parent organization

BANNER HEALTHAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dennis Dahlen

Title

Sr Vice President Finance

Phone

(602) 747-4000

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

M E Lee MD

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Banner Health

  • Durable Medical Equipment & Medical Supplies
  • Casper, WY
  • NPI 1528846912
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232323200000",
    "number": "1104854710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 N 12TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850062837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 HOWELL AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824014127",
            "telephone_number": "307-347-2555",
            "fax_number": "307-347-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WMC CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BANNER HEALTH",
        "enumeration_date": "2006-06-30",
        "last_updated": "2009-01-19",
        "status": "A",
        "authorized_official_last_name": "DAHLEN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "SR VICE PRESIDENT FINANCE",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118243900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly Marie Williams, MD
• Alexis Wilson
• Carolyn J Wilson
• Matthew Wilson
• Samuel Wilson
• Landon F Workman
• Worland Chiropractic Clinic PC
• Worland Dental Clinic, PC
• Worland Optometric and Contact Lens Center,Inc
• Worland Pharmacy Inc.

• Multi-Specialty Clinic/Center in Worland, WY
• Providers in Worland, WY by specialty
• Multi-Specialty Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.