Organization Active NPI

Cedar Hills Family Clinic, P.C.

  • Family Medicine Physician
  • Upton, WY
National Provider Identifier
1659537694
Registry record updated Apr 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CEDAR HILLS FAMILY CLINIC, P.C.
Practice address
717 Pine Street
Upton, WY 82730
Phone
(307) 468-2302
Fax
(307) 468-2601
NPI assigned
Jul 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2010

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

Authorized official

Name
Dr. Lanny Bruce Reimer, M.D.
Title
President
Phone
(307) 468-2302

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X Primary
Rural Health Clinic/Center 261QR1300X

Addresses

Primary practice location

717 Pine Street
Upton, WY 82730

Mailing address

PO Box 676
Upton, WY 82730-0676
Phone (307) 468-2302

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272412800000",
    "number": "1659537694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676",
            "city": "UPTON",
            "state": "WY",
            "postal_code": "827300676",
            "telephone_number": "307-468-2302",
            "fax_number": "307-468-2601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PINE STREET",
            "city": "UPTON",
            "state": "WY",
            "postal_code": "82730",
            "telephone_number": "307-468-2302",
            "fax_number": "307-468-2601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR HILLS FAMILY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-30",
        "last_updated": "2010-04-28",
        "status": "A",
        "authorized_official_last_name": "REIMER",
        "authorized_official_first_name": "LANNY",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "307-468-2302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upton, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.