COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC PEDIATRICS
NPI 1205308855
Clinic/Center - Federally Qualified Health Center (FQHC) in Lander, WY

NPI Status: Active since December 20, 2018

Contact Information

8185 HIGHWAY 789
LANDER, WY
ZIP 82520
Phone: (307) 332-2185
Fax: (307) 332-7799

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • Accepts Insurance
  • CLIA Number: 53D0917856
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 09-09-2025

About COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC PEDIATRICS

This page provides the complete NPI Profile along with additional information for Community Health Center Of Central Wyoming Inc Pediatrics, a primary care provider established in Lander, Wyoming operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1205308855 assigned on December 2018. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated one year ago. The provider's is doing business as Community Health Center Of Central Wyoming Inc Pediatrics. The authorized official of this NPI record is Amanda Sisco (Revenue Cycle Manager)

NPI
1205308855
Provider Legal Name
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC
Other Organization Name
COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC PEDIATRICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
8185 HIGHWAY 789 LANDER, WY 82520
Location Phone
(307) 332-2185
Location Fax
(307) 332-7799
Mailing Address
5000 BLACKMORE RD CASPER, WY 82609
Mailing Phone
(307) 233-6000
Mailing Fax
(307) 332-7799
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2018
Last Update Date
03-08-2024
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A primary care provider (PCP) like Community Health Center Of Central Wyoming Inc Pediatrics sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BlueSelect Bronze Basic - PPO
  • BlueSelect Bronze Core - PPO
  • BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
  • BlueSelect Gold Core - PPO
  • BlueSelect Gold HealthPlus - PPO
  • BlueSelect Gold Standard without Kid's Dental - PPO
  • BlueSelect Silver Classic - PPO
  • BlueSelect Silver Classic without Kid's Dental - PPO
  • BlueSelect Silver HealthPlus - PPO
  • BlueSelect Silver HealthPlus without Kid's Dental - PPO
  • BlueSelect Silver Standard without Kid's Dental - PPO
  • Connect Bronze Expanded Standard - PPO
  • Connect Bronze HDHP - PPO
  • Connect Catastrophic - PPO
  • Connect Gold - PPO
  • Connect Gold Standard - PPO
  • Connect Silver - PPO
  • Connect Silver Standard - PPO
  • High Plains Bronze HDHP - PPO
  • High Plains Bronze Standard Expanded - PPO
  • High Plains Gold - PPO
  • High Plains Gold HDHP - PPO
  • High Plains Gold Standard - PPO
  • High Plains Silver - PPO
  • High Plains Silver Standard - PPO
  • Plus Bronze Expanded - PPO
  • Plus Bronze Standard Expanded - PPO
  • Plus Gold - PPO
  • Plus Gold Standard - PPO
  • Plus Silver Standard - PPO
  • ACCESS BRONZE - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

AMANDA SISCO

Authorized Official Title
REVENUE CYCLE MANAGER
Authorized Official Phone
(307) 233-6000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
53D0917856
Facility Type
Rural Health Clinic
Certificate Effective Date
September 10, 2023
Certificate Expiration Date
September 09, 2025
Laboratory Director
JORDAN LODEL
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Community Health Center Of Central Wyoming Inc Pediatrics to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC PEDIATRICS

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205308855
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22056016810
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 6 + 0 + 1 + 6 + 8 + 1 + 0 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1205308855 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730137449 NANCY A BREWSTER PA-C
Individual
Physician Assistant8185 HIGHWAY 789
LANDER, WY 82520
(307) 335-7555
1396976577FREMONT EAR NOSE AND THROAT
Organization
Otolaryngology8185 HIGHWAY 789
LANDER, WY 82520
(307) 335-7555
1699723395WIND RIVER EAR, NOSE & THROAT, INC
Organization
Otolaryngology8185 HIGHWAY 789
LANDER, WY 82520
(307) 335-7555
1235891169MS. JORDAN NICHOLE LODEL APRN
Individual
Nurse Practitioner8185 HIGHWAY 789
LANDER, WY 82520
(307) 332-2185

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205308855, enumerated in the NPI registry as an "organization" on December 20, 2018

The provider is located at 8185 Highway 789 Lander, Wy 82520 and the phone number is (307) 332-2185

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming and Mountain. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 53D0917856 for a "rural health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 20, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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