Elevated Health and Safety Solutions, LLC
Organization Active NPI Occupational Medicine Physician · Rawlins, WY
NPI 1558082669 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1558082669
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Medicine Physician 2083X0100X
- Legal business name
- ELEVATED HEALTH AND SAFETY SOLUTIONS, LLC
- Practice address
- 902 N Higley Blvd
Rawlins, WY 82301-5906 - Phone
- (307) 324-3723
- Fax
- (307) 370-4070
- NPI assigned
- Sep 7, 2022
- Organization subpart
- No
Authorized official
- Name
- Lori Snodgrass
- Title
- Owner
- Phone
- (307) 324-3723
Practitioners 3
-
Megan Mary Ayala, PMHNP
-
Chere A Bohr, APRN FNP-C
-
Diane Marie Wrenn, ARNP, FNP-C
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D2220172 | Elevated Health and Safety Solutions | Certificate of waiver | Apr 8, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240508000482 | WY | Part B Supplier - Clinic/Group Practice | 1759722838 |
Receives reassigned benefits from 3 practitioners Practice locations: Rawlins, WY |
National Provider Directory
Locations
1513 McMicken St
Rawlins, WY 82301
902 N Higley Blvd
Rawlins, WY 82301
Phone (307) 324-3723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician |
2083X0100X | Yes |
Addresses
Primary practice location
902 N Higley Blvd
Rawlins, WY 82301-5906
Mailing address
902 N Higley Blvd
Rawlins, WY 82301-5906
Phone (307) 324-3723
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200547740A | Medicaid | WY | |
| 1255403457 | Other | WY | NPI |
| 110573001 | Other | WY | MEDICARE |
Other names
- Elevated Health & Safety Solutions
Other providers in Rawlins, WY
- Brooke Dotterer-Mendez
- Dr Luan K Tran DDS PC Inc
- Marnie J. Earl
- Emily Echols
- Elevate Counseling
- Empres at Rawlins, LLC
- James Dale Engstrom
- Morgan Espino
- Bradley L Ferguson
- Sheryl L Foland
All providers in Rawlins, WY · Occupational Medicine Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.