NPIMap

Organization Active NPI

University of Wyoming Student Health Service

  • Student Health Clinic/Center
  • Laramie, WY
National Provider Identifier
1922112374
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
UNIVERSITY OF WYOMING STUDENT HEALTH SERVICE
Practice address
1000 E. University Ave
Dept. 3068
Laramie, WY 82071
Phone
(307) 766-2130
Fax
(307) 766-2711
NPI assigned
Aug 19, 2006
Last updated
Feb 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Dr. Mary Beth Bender, M.D.
Title
M.D./Director
Phone
(307) 766-2130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X WY Primary

Addresses

Primary practice location

1000 E. University Ave
Dept. 3068
Laramie, WY 82071

Mailing address

1000 E. University Ave
Dept. 3068
Laramie, WY 82071
Phone (307) 766-2130

Other identifiers 2

IdentifierTypeStateIssuer
107362102MedicaidWY
107362103MedicaidWY

Other names 1

  • UW Student Health Service Other name

National Provider Directory

National Provider Directory
Tax ID family
U W Family Prac at Casp11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1000 E University Ave
#3068
Laramie, WY 82071
Phone (307) 766-2130

Practitioners & affiliated clinicians

Practitioners 7

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": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1922112374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E. UNIVERSITY AVE",
            "address_2": "DEPT. 3068",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82071",
            "telephone_number": "307-766-2130",
            "fax_number": "307-766-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E. UNIVERSITY AVE",
            "address_2": "DEPT. 3068",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "82071",
            "telephone_number": "307-766-2130",
            "fax_number": "307-766-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF WYOMING STUDENT HEALTH SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "BENDER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "M.D./DIRECTOR",
        "authorized_official_telephone_number": "307-766-2130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107362102",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107362103",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UW Student Health Service",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "UW Student Health Service",
            "code": "5",
            "type": "Other 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 Feb 12, 2021; 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.