University of Wyoming
University of Wyoming is a Clinic/Center in Pine Bluffs, Wyoming. Registered with an NPI since 2014.
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
117 E 4th StPine Bluffs, WY 82082
Phone: (307) 245-3666
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X |
Record details
| NPI number | 1316340417 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | University of Wyoming |
| Authorized official | Ronald Malm — Program Director · (307) 632-2434 |
| Other names | Pine Bluffs Clinic |
| NPI enumerated | October 2, 2014 |
| Last updated in NPPES | April 13, 2016 |
| Mailing address | 820 E 17th St, Cheyenne, WY 82001-4714 |