UNIVERSITY OF WYOMING – NPI #1316340417
Clinic/Center

UNIVERSITY OF WYOMING is an AHC clinic located in PINE BLUFFS, WY. NPPES has assigned the NPI number 1316340417 to UNIVERSITY OF WYOMING on October 02, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. UNIVERSITY OF WYOMING is also known by the name PINE BLUFFS CLINIC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 10 years ago on Apr 13, 2016. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for UNIVERSITY OF WYOMING below.

NPI Profile for
UNIVERSITY OF WYOMING

NPI Number
1316340417
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
UNIVERSITY OF WYOMING
Other Name: PINE BLUFFS CLINIC
Primary location
117 E 4TH ST
PINE BLUFFS, WY 82082
Phone: (307) 245-3666 Fax:
Mailing address
820 E 17TH ST
CHEYENNE, WY 82001-4714
Phone: (307) 245-3666 Fax:
Organization Subpart
Yes - UNIVERSITY OF WYOMING is subpart of another organization.
Authorized Official
RONALD MALM
PROGRAM DIRECTOR
Phone: (307) 632-2434
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
261Q00000X
- Clinic/Center

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.