COMMUNITY ACTION OF LARAMIE COUNTY (NPI# 1043436983) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043436983 |
| Entity Type | Organization |
| Organization Name | COMMUNITY ACTION OF LARAMIE COUNTY |
| Other Organization Name | CROSSROADS HEALTHCARE CLINIC |
| Practice Address |
100 Central Ave Ste 100 Cheyenne WY 82007-1330 |
| Mailing Address |
100 Central Ave Suite 100 Cheyenne WY 82007-1330 |
| Practice Telephone | 3076328064 |
| Practice Fax Number | 3076326131 |
| Mailing Telephone | 3076328064 |
| Mailing Fax Number | 3076326131 |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2015-08-27 |
| Authorized Official Name | MELISSA A IPSER (PROGRAM MANAGER) |
| Authorized Official Telephone | 3076328064 |
| Authorized Official Credential | MSW, LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
20234.0234 | WY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Crossroads Healthcare Clinic | Doing Business As Name - Organization |
| Street Address |
100 CENTRAL AVE STE 100 |
| City | CHEYENNE |
| State | WY |
| Zip Code | 82007-1330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487187324 | Stevana Gosbee | Nurse Practitioner | 100 Central Ave, Suite 100, Cheyenne, WY 82007-1330 | 2017-04-07 |
| 1942442850 | Nikki Lee Armstrong | Nurse Practitioner | 100 Central Ave, Cheyenne, WY 82007-1330 | 2009-03-25 |
| 1134302037 | Heather L Roberts | Nurse Practitioner | 100 Central Ave, Cheyenne, WY 82007-1330 | 2007-12-13 |
| 1245455286 | Peggy Deane Johnson | Nurse Practitioner | 100 Central Ave, Cheyenne, WY 82007-1330 | 2007-04-16 |
| 1447386057 | Cheyenne-laramie County Health Department | Public Health or Welfare | 100 Central Ave, Cheyenne, WY 82007-1330 | 2007-02-26 |
| 1346256286 | Patty L Sherard | Nurse Practitioner | 100 Central Ave, Cheyenne, WY 82007-1330 | 2006-07-31 |
| 1356360002 | Linda B Sims | Advanced Practice Midwife | 100 Central Ave, Cheyenne, WY 82007-1330 | 2006-07-19 |
| 1265497184 | Linda Arlene Thyfault | Nurse Practitioner | 100 Central Ave, Cheyenne, WY 82007-1330 | 2006-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548788102 | Melanie Ann Traas | Speech-Language Pathologist | 236 Parsley Blvd, Cheyenne, WY 82007 | 2017-09-05 |
| 1083135701 | Courtney Jo Tatum | Case Manager/Care Coordinator | 209 Stanfield Ave, Cheyenne, WY 82007 | 2017-07-03 |
| 1679838056 | Ryan Wayne Ackerman | Counselor | 117 West 9th Street, Cheyenne, WY 82007 | 2012-07-11 |
| 1992932420 | Libby Jane Phillips | Pharmacist | 700 S. Greeley Hwy, Cheyenne, WY 82007 | 2009-06-11 |
| 1043382336 | Dale C Brentlinger | Internal Medicine | 2508 E Fox Farm Road, #1a, Cheyenne, WY 82007 | 2006-11-14 |
| 1841273901 | Ryan C Benne | Chiropractor | 2809 Evans Ave, Cheyenne, WY 82007 | 2005-11-22 |
| 1386632594 | Cheyenne Health & Wellness Center | Clinic/Center | 2508 East Fox Farm Road, Suite 1a, Cheyenne, WY 82007 | 2005-10-11 |
| 1255718953 | Wal-mart Srores Inc | Technician/Technologist | 580 Livingston Ave, Cheyenne, WY 82007 | 2015-05-01 |
| 1811030554 | Stride Learning Center | Clinic/Center | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2007-02-14 |
| 1568006443 | Audrey Marie Saling | Occupational Therapist | 326 Parsley Blvd, Cheyenne, WY 82007-1014 | 2019-11-04 |
| Find all providers in zip 82007 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376004663 | Wind River Family & Community Health Care | Clinic/Center | 10266 Hwy 789, Arapahoe, WY 82510 | 2019-03-28 |
| 1447710843 | Wind River Family and Community Health Care | Clinic/Center | 510 Ethete Road, Ethete, WY 82520 | 2019-03-21 |
| 1538623665 | Powell Health Care Coalition | Clinic/Center | 444 Greybull Ave, Greybull, WY 82426-2037 | 2019-01-23 |
| 1366914889 | Community Health Center of Central Wyoming Inc | Clinic/Center | 704 Fremont Ave, Riverton, WY 82501 | 2018-12-21 |
| 1457823007 | Community Health Center of Central Wyoming Inc | Clinic/Center | 223 N Cherry St, Pavillion, WY 82523-5005 | 2018-12-20 |
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1558735308 | Montana Migrant and Seasonal Farmworkers Council, Inc. | Clinic/Center | 212 West 6th Street, Powell, WY 82435-1809 | 2015-11-17 |
| 1568846962 | Powell Health Care Coalition | Clinic/Center | 128 N. Bent St, Powell, WY 82435-2712 | 2015-07-15 |
| 1073953287 | Wyoming Health Council | Clinic/Center | 615 E 7th St, Powell, WY 82435-1643 | 2013-07-02 |
| 1275810160 | Community Health Center of Central Wyoming Inc | Clinic/Center | 2002 W. Sunset Dr., Suite 2, Riverton, WY 82501-2285 | 2011-11-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.