Organization Active NPI

Richardson Family Health Center, P.C.

  • Medical Specialty Clinic/Center
  • Rock Springs, WY
National Provider Identifier
1760650980
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
4012A Issued in WY
Legal business name
RICHARDSON FAMILY HEALTH CENTER, P.C.
Practice address
430 Broadway St
Rock Springs, WY 82901-6269
Phone
(307) 382-8668
NPI assigned
Feb 11, 2008
Last updated
Apr 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Charles Alan Richardson, MDNPI 1215085642
Title
Owner/Medical Director
Phone
(307) 382-8668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 4012A WY Primary

Addresses

Primary practice location

430 Broadway St
Rock Springs, WY 82901-6269

Mailing address

430 Broadway St
Rock Springs, WY 82901-6269
Phone (307) 382-8668

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1760650980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 BROADWAY ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016269",
            "telephone_number": "307-382-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 BROADWAY ST",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829016269",
            "telephone_number": "307-382-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARDSON FAMILY HEALTH CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "307-382-8668",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WY",
            "license": "4012A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Springs, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.