FREMONT RADIOLOGY PC


Address: 2102 W Sunset Dr, Riverton, WY 82501
Phone: 3078566530

FREMONT RADIOLOGY PC (NPI# 1124207345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124207345
Entity Type Organization
Organization Name FREMONT RADIOLOGY PC
Other Organization Name FREMONT RADIOLOGY MRI
Practice Address 2102 W Sunset Dr
Riverton
WY 82501
Mailing Address 1001 West Main Street
Riverton
WY 82501
Practice Telephone 3078566530
Mailing Telephone 3078566530
Enumeration Date 2007-10-25
Last Update Date 2007-10-25
Authorized Official Name VALERIE LAWRENCE (OFFICE MANAGER)
Authorized Official Telephone 3078566530
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1200X Clinic/Center
Specialization: Magnetic Resonance Imaging (MRI)
FDTC-300 WY Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Fremont Radiology MRI Doing Business As Name - Organization

Office Location

Street Address 2102 W SUNSET DR
City RIVERTON
State WY
Zip Code 82501

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1801242268 Jessika Ruth Waldron Case Manager/Care Coordinator 1519 1/2 E Pershing, Riverton, WY 82501 2016-05-04
1467815498 Orren P Janis Sr. Community Health Worker 10369 Highway 789, 10369 Hwy 789, Riverton, WY 82501 2016-03-29
1194186320 Amanda R Vroman Counselor 10269 Hwy 789, Riverton, WY 82501 2016-03-16
1770944902 William Nolan Sage Counselor 10269 Hwy. 789, Riverton, WY 82501 2016-03-16
1962806331 Moss Dentistry Dentist 203 E Main Street, Suite 205, Riverton, WY 82501 2014-10-14
1215339957 Jordan Hays Registered Nurse 11855 Us Highway 26, Riverton, WY 82501 2014-09-25
1538584750 Michaela R Sisneros Nursing Care 2890 Cooper Rd, Riverton, WY 82501 2014-02-25
1487089843 Olivia P Washington Registered Nurse 43 Goes In Lodge Road, Riverton, WY 82501 2013-09-04
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Taxonomy Information

Taxonomy Code 261QM1200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Magnetic Resonance Imaging (MRI)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1568721553 Phi Health, LLC Clinic/Center 2405 E Grand Ave, Suite D, Box 136, Laramie, WY 82070-5206 2012-05-10
1366936270 Casper Orthopedic Associates PC Clinic/Center 4140 Centennial Hills Blvd Ste A, Casper, WY 82609-3265 2018-06-15
1205165727 Bone & Joint Radiology, LLC Clinic/Center 508 Stocktrail Ave, Suite A, Gillette, WY 82716-3582 2009-12-11
1154490233 Teton Mri Clinic/Center 625 E Broadway, Jackson, WY 83001 2006-11-06
1477641272 Wyoming Imaging Center Clinic/Center 231 S Washington St, Casper, WY 82601-2948 2006-10-10

Competitor

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City RIVERTON
Zip Code 82501

Improve Information

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Dataset Information

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.

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