Wyoming Health Medical Group, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

WYOMING HEALTH MEDICAL GROUP, LLC

Practice address

1020 E 2ND St Ste 201
Casper, WY 82601-2955

Phone

(307) 233-0250

NPI assigned

Aug 23, 2021

Organization subpart

Yes

Parent organization

WYOMING MEDICAL CENTER INCAs reported in NPPES

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

Authorized official

Name

Dennis Laraway

Title

Cfo

Phone

(602) 747-4000

Specialties & licenses 2

Addresses

Tax ID family

Wyoming Health Medical Group LLC2 organizations share this tax ID, including this one

Part of

Stenquist Sco

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Wyoming Health Medical Group, LLC

  • Nutrition Education Nutritionist
  • Casper, WY
  • NPI 1346951944
  NPD tax ID

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

{
    "created_epoch": "1629676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1376210989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 N CENTRAL AVE STE 160",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 E 2ND ST STE 201",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012955",
            "telephone_number": "307-233-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WYOMING HEALTH MEDICAL GROUP, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WYOMING MEDICAL CENTER INC",
        "enumeration_date": "2021-08-23",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "LARAWAY",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "602-747-4000"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wyoming Independent Living Rehabilitation, Inc.
• Wyoming Institute for Better Living Inc

• Multi-Specialty Clinic/Center in Casper, WY
• Providers in Casper, 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 13, 2022; 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.