Westside Womens Clinic LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

WESTSIDE WOMENS CLINIC LLC

Practice address

1915 Oxford Lane
Ste 101
Casper, WY 82604

Phone

(307) 265-5400

Fax

(307) 265-1818

NPI assigned

Mar 13, 2007

Organization subpart

No

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

Authorized official

Name

Starla Chrisie Mammon

Title

Co Owner Business MGR

Phone

(307) 265-5400

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1508999459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 OXFORD LANE",
            "address_2": "STE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82604",
            "telephone_number": "307-265-5400",
            "fax_number": "307-265-1818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 OXFORD LANE",
            "address_2": "STE 101",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "82604",
            "telephone_number": "307-265-5400",
            "fax_number": "307-265-1818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTSIDE WOMENS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAMMON",
        "authorized_official_first_name": "STARLA",
        "authorized_official_middle_name": "CHRISIE",
        "authorized_official_title_or_position": "CO OWNER BUSINESS MGR",
        "authorized_official_telephone_number": "307-265-5400"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Casper, WY
• Providers in Casper, WY by specialty
• Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.