Organization Active NPI

Premise Health of Wyoming Medical PC

Doing business as My Health Center At Lowe's Wyoming

  • Multi-Specialty Clinic/Center
  • Cheyenne, WY
National Provider Identifier
1447661319
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PREMISE HEALTH OF WYOMING MEDICAL PC
Doing business as
My Health Center At Lowe's Wyoming
Practice address
2723 Christensen Rd
Cheyenne, WY 82007-9662
Phone
(307) 637-0736
Fax
(307) 637-0715
NPI assigned
May 14, 2014
Last updated
Feb 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Authorized official

Name
Edward William Schwartz
Title
President
Phone
(844) 407-7557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

2723 Christensen Rd
Cheyenne, WY 82007-9662

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Other names 2

  • My Health Center At Lowe's Wyoming Doing business as
  • Healthworks Med Group of Wyoming PC Former legal business name

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
53D2000021Premise Health of Wyoming Medical PC2723 Christensen Road, Cheyenne, WY 82007Certificate of waiverNov 17, 2027

National Provider Directory

National Provider Directory
Tax ID family
Coalition Family Health Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

2723 Christensen Rd
Cheyenne, WY 82007
Phone (480) 510-2961

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1447661319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 MARYLAND WAY STE 120",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370274993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 CHRISTENSEN RD",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820079662",
            "telephone_number": "307-637-0736",
            "fax_number": "307-637-0715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMISE HEALTH OF WYOMING MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-14",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "844-407-7557"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Health Center At Lowe's Wyoming",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthworks Med Group of Wyoming PC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Cheyenne, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.