Organization Active NPI

Community Strong LLC

  • Clinic/Center
  • Kemmerer, WY
National Provider Identifier
1831966266
Registry record updated Dec 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COMMUNITY STRONG LLC
Practice address
1100 Pine Ave Ste 3B
Kemmerer, WY 83101-3237
Phone
(405) 229-7898
NPI assigned
Dec 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2024

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

Authorized official

Name
Whitney D Walsh
Title
Cao
Phone
(405) 229-7898

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Informatics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083C0008X
Clinic/Center 261Q00000X Primary
Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364S00000X
Chronic Care Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SC2300X
Family Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SF0001X

Addresses

Primary practice location

1100 Pine Ave Ste 3B
Kemmerer, WY 83101-3237

Mailing address

1208 Hilltop Dr Ste 204
Rock Springs, WY 82901-5859
Phone (405) 229-7898

Other practice location 1

1208 Hilltop Dr Ste 204
Rock Springs, WY 82901-5859
Phone (405) 229-7898

Other names 1

  • Community Strong LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240229004639 WY Part B Supplier - Clinic/Group Practice 3779928627 Practice locations: Kemmerer, WY

National Provider Directory

National Provider Directory

Locations

1100 Pine Ave
Kemmerer, WY 83101

1100 Pine Ave
Ste 3B
Kemmerer, WY 83101
Phone (307) 877-2951

Practitioners & affiliated clinicians

Practitioners 1

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": "1701820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734998400000",
    "number": "1831966266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1208 HILLTOP DR STE 204",
            "city": "ROCK SPRINGS",
            "state": "WY",
            "postal_code": "829015859",
            "telephone_number": "405-229-7898",
            "fax_number": "877-552-0705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 PINE AVE STE 3B",
            "city": "KEMMERER",
            "state": "WY",
            "postal_code": "831013237",
            "telephone_number": "405-229-7898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 Hilltop Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Rock Springs",
            "state": "WY",
            "postal_code": "829015859",
            "country_code": "US",
            "telephone_number": "405-229-7898",
            "fax_number": "877-552-0705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COMMUNITY STRONG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-06",
        "last_updated": "2024-12-24",
        "certification_date": "2024-12-24",
        "status": "A",
        "authorized_official_last_name": "WALSH",
        "authorized_official_first_name": "WHITNEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "405-229-7898"
    },
    "taxonomies": [
        {
            "code": "2083C0008X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Clinical Informatics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SC2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Chronic Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Strong LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Community Strong LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kemmerer, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.