Organization Active NPI

Western Wyoming Medical Clinics LLC

  • Multi-Specialty Clinic/Center
  • Lander, WY
National Provider Identifier
1922643097
Registry record updated Jun 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
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

Updated by the provider on Jun 25, 2021

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
152503400MedicaidWY

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: 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.

Verify at the official NPI Registry.