Alpha Family Medicine, Inc.
Organization Active NPI Family Medicine Physician · Cheyenne, WY
NPI 1215944301 · NPPES record last updated Sep 10, 2007
Key facts
- NPI
- 1215944301
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 5374A (WY)
- Legal business name
- ALPHA FAMILY MEDICINE, INC.
- Practice address
- 1202 Cleveland Ave
Cheyenne, WY 82001-6700 - Phone
- (307) 632-6403
- Fax
- (307) 632-6426
- NPI assigned
- Aug 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Kathleen M Gates, F.N.P.C
- Title
- Owner
- Phone
- (307) 632-6403
Practitioners 1
National Provider Directory
Locations
1810 Pioneer Ave
Cheyenne, WY 82001
Phone (307) 632-6403
1307 Crook Ave
Cheyenne, WY 82001
Phone (307) 632-6403
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 5374A | WY | Yes |
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
1202 Cleveland Ave
Cheyenne, WY 82001-6700
Mailing address
1202 Cleveland Ave
Cheyenne, WY 82001-6700
Phone (307) 632-6403
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.