Cheyenne Vamc
Organization Active NPI VA Clinic/Center · Laramie, WY
NPI 1922586692 · NPPES record last updated Jan 17, 2024
Key facts
- NPI
- 1922586692
- Entity type
- Organization (NPI type 2)
- Primary specialty
- VA Clinic/Center 261QV0200X
- Legal business name
- CHEYENNE VAMC
- Practice address
- 4750 Highway 130
Laramie, WY 82070-9792 - Phone
- (913) 578-4409
- NPI assigned
- Aug 3, 2018
- Organization subpart
- No
Authorized official
- Name
- Erin Denise Potter
- Title
- Npi Team Member
- Phone
- (202) 382-2579
Corporate family (same tax ID) 14
National Provider Directory
- Tax ID family
- Cheyenne Vamc
Locations
4750 Highway 130
Laramie, WY 82070
2901 Armory Rd
Laramie, WY 82072
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | Yes |
Addresses
Primary practice location
4750 Highway 130
Laramie, WY 82070-9792
Mailing address
PO Box 94454
Cleveland, OH 44101-4454
Phone (913) 578-4409
Other names
- LARAMIE VA MOBILE CLINIC
Other providers in Laramie, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.