Organization Active NPI

Laramie Reproductive Health

  • Public Health or Welfare Agency
  • Laramie, WY
National Provider Identifier
1851410682
Registry record updated Jul 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
LARAMIE REPRODUCTIVE HEALTH
Practice address
1252 N 22ND St Suite a
Laramie, WY 82072
Phone
(307) 745-5364
Fax
(307) 745-4164
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2018

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

Authorized official

Name
Matthew Miller
Title
Exec Director
Phone
(307) 745-4364

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Public Health or Welfare Agency 251K00000X WY Primary

Addresses

Primary practice location

1252 N 22ND St Suite a
Laramie, WY 82072

Mailing address

1252 N 22ND St Suite a
Laramie, WY 82072
Phone (307) 745-5364

Other identifiers 1

IdentifierTypeStateIssuer
106189500MedicaidWY

Other names 1

  • Albany County Family Planning Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100604000812 WY Part B Supplier - Clinic/Group Practice 7517097348 Receives reassigned benefits from 2 practitioners
Practice locations: Laramie, WY

National Provider Directory

National Provider Directory

Locations

605 Skyline Rd
Laramie, WY 82070

605 Skyline Rd
Ste 201
Laramie, WY 82070
Phone (307) 745-5364

413 S 21st St
Laramie, WY 82070
Phone (307) 745-5364

Practitioners & affiliated clinicians

Practitioners 3

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531094400000",
    "number": "1851410682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1252 N 22ND ST SUITE A",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82072",
            "telephone_number": "307-745-5364",
            "fax_number": "307-745-4164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1252 N 22ND ST SUITE A",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82072",
            "telephone_number": "307-745-5364",
            "fax_number": "307-745-4164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARAMIE REPRODUCTIVE HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2018-07-09",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "EXEC DIRECTOR",
        "authorized_official_telephone_number": "307-745-4364"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "106189500",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albany County Family Planning",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Albany County Family Planning",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Jul 9, 2018; 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.