WYOMING HEALTH MEDICAL GROUP, LLC
NPI 1376210989
Clinic/Center - Multi-Specialty in Casper, WY
NPI Status: Active since August 23, 2021
Contact Information
1020 E 2ND ST STE 201
CASPER, WY
ZIP 82601
Phone: (307) 233-0250
- Organization
- Clinic/Center
- Multi-Specialty
- CLIA Number: 53D0925425
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-29-2025
About WYOMING HEALTH MEDICAL GROUP, LLC
This page provides the complete NPI Profile along with additional information for Wyoming Health Medical Group, Llc, a provider established in Casper, Wyoming operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1376210989 assigned on August 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dennis Laraway (Cfo)
- NPI
- 1376210989
- Provider Name
- WYOMING HEALTH MEDICAL GROUP, LLC
- Entity Type
- Organization
- Location Address
- 1020 E 2ND ST STE 201 CASPER, WY 82601
- Location Phone
- (307) 233-0250
- Mailing Address
- 2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 08-23-2021
- Last Update Date
- 01-13-2022
- Code Navigator
Location Map
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 Multi-Specialty
- Taxonomy Code
- 261QM1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
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
- 53D0925425
- Facility Type
- Physician Office
- Certificate Effective Date
- August 30, 2023
- Certificate Expiration Date
- August 29, 2025
- Laboratory Director
- HARRY W. HAMNER
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Wyoming Health Medical Group, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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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. | |||||||||
| 1 | 3 | 7 | 6 | 2 | 1 | 0 | 9 | 8 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 4 | 1 | 0 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 4 + 1 + 0 + 9 + 1 + 6 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1376210989 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1568899045 | MRS. KRISTEN JUSTICE PICHLER PA-C Individual | Physician Assistant | 1020 E 2ND ST STE 201 CASPER, WY 82601 (307) 233-0250 |
| 1437610268 | KYLIE ALLISON HUMBERTSON PA-C Individual | Physician Assistant | 1020 E 2ND ST STE 201 CASPER, WY 82601 (307) 233-0250 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376210989, enumerated in the NPI registry as an "organization" on August 23, 2021
The provider is located at 1020 E 2nd St Ste 201 Casper, Wy 82601 and the phone number is (307) 233-0250
This medical organization specializes in Clinic/Center with taxonomy code 261QM1300X with a focus in Multi-Specialty
The provider's CLIA number is 53D0925425 for a "physician office" facility with a CLIA Certificate of Compliance. This CLIA certificate is issued after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing..
This NPI record was last updated on August 23, 2021. 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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