Organization Active NPI

Snowy Range Health Center

  • Primary Care Clinic/Center
  • Laramie, WY
National Provider Identifier
1831580240
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
SNOWY RANGE HEALTH CENTER
Practice address
100 S 6TH St
Laramie, WY 82070-3239
Phone
(307) 460-9888
Fax
(307) 460-9892
NPI assigned
Feb 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Wendy B King, APRNNPI 1235210451
Title
Owner
Phone
(307) 721-2880

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

100 S 6TH St
Laramie, WY 82070-3239

Mailing address

PO Box 1126
Laramie, WY 82073-1126
Phone (307) 460-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151015000937 WY Part B Supplier - Clinic/Group Practice 8123337011 Receives reassigned benefits from 2 practitioners
Practice locations: Laramie, WY

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
53D2092537Snowy Range Health Center LLC100 S 6TH St, Laramie, WY 82070Certificate of waiverMar 8, 2027

National Provider Directory

National Provider Directory

Locations

2523 E Garfield St
Ste B
Laramie, WY 82070
Phone (307) 460-9888

100 S 6th St
Laramie, WY 82070
Phone (307) 460-9888

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10901/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1423267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1831580240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1126",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820731126",
            "telephone_number": "307-460-9888",
            "fax_number": "307-460-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S 6TH ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820703239",
            "telephone_number": "307-460-9888",
            "fax_number": "307-460-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOWY RANGE HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-07",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "307-721-2880",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.