Active NPI
Western Wyoming Medical Clinics LLC
- Multi-Specialty Clinic/Center
- Lander, WY
National Provider Identifier
1922643097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- WESTERN WYOMING MEDICAL CLINICS LLC
- Practice address
- 535 E Main St Ste B
Lander, WY 82520-3410 - Phone
- (307) 206-1224
- Fax
- (307) 206-1214
- NPI assigned
- Nov 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bridgett Howard
- Title
- Billing Office
- Phone
- (307) 206-1224
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
535 E Main St Ste B
Lander, WY 82520-3410
Mailing address
PO Box 26950
Belfast, ME 04915-2020
Phone (307) 206-1224
Other practice location 1
195 Feather Way Stop 100
Evanston, WY 82930-9352
Phone (307) 288-0350
Other practice location 2
1403 W Ramshorn St Ste 1
DuBois, WY 82513-5091
Phone (307) 455-3268
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 152503400 | Medicaid | WY |
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://api.platform.athenahealth.com/21454/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624579200000",
"number": "1922643097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26950",
"city": "BELFAST",
"state": "ME",
"postal_code": "049152020",
"telephone_number": "307-206-1224",
"fax_number": "307-206-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "535 E MAIN ST STE B",
"city": "LANDER",
"state": "WY",
"postal_code": "825203410",
"telephone_number": "307-206-1224",
"fax_number": "307-206-1214"
}
],
"practiceLocations": [
{
"address_1": "195 Feather Way Stop 100",
"address_purpose": "LOCATION",
"city": "Evanston",
"state": "WY",
"postal_code": "829309352",
"country_code": "US",
"telephone_number": "307-288-0350",
"fax_number": "307-288-0355",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1403 W Ramshorn St Ste 1",
"address_purpose": "LOCATION",
"city": "DuBois",
"state": "WY",
"postal_code": "825135091",
"country_code": "US",
"telephone_number": "307-455-3268",
"fax_number": "307-455-3269",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "WESTERN WYOMING MEDICAL CLINICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-13",
"last_updated": "2021-06-25",
"certification_date": "2021-06-25",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "BRIDGETT",
"authorized_official_title_or_position": "BILLING OFFICE",
"authorized_official_telephone_number": "307-206-1224"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152503400",
"state": "WY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lander, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.