Organization Active NPI

Buffalo Urgent Care Inc

  • Urgent Care Clinic/Center
  • Buffalo, WY
National Provider Identifier
1124662879
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
BUFFALO URGENT CARE INC
Practice address
496 Fort St
Buffalo, WY 82834-1806
Phone
(307) 278-0280
Fax
(307) 278-0160
NPI assigned
Nov 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Authorized official

Name
Leesa Belus, FNP-CNPI 1477061836
Title
Owner/Manager
Phone
(307) 278-0280

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

496 Fort St
Buffalo, WY 82834-1806

Mailing address

496 Fort St
Buffalo, WY 82834-1806
Phone (307) 278-0280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200312001456 WY Part B Supplier - Clinic/Group Practice 5890123459 Receives reassigned benefits from 4 practitioners
Practice locations: Buffalo, WY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2183722Buffalo Urgent Care Inc496 Fort St, Buffalo, WY 82834Certificate of waiverMay 7, 2028

National Provider Directory

National Provider Directory

Locations

496 Fort St
Buffalo, WY 82834
Phone (307) 278-0280

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1124662879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "496 FORT ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341806",
            "telephone_number": "307-278-0280",
            "fax_number": "307-278-0160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "496 FORT ST",
            "city": "BUFFALO",
            "state": "WY",
            "postal_code": "828341806",
            "telephone_number": "307-278-0280",
            "fax_number": "307-278-0160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUFFALO URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "BELUS",
        "authorized_official_first_name": "LEESA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "307-278-0280",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.