COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC (NPI# 1366914889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366914889 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF CENTRAL WYOMING INC |
| Other Organization Name | FREMONT COUNTY PEDIATRICS RIVERTON |
| Practice Address |
704 Fremont Ave Riverton WY 82501 |
| Mailing Address |
5000 Blackmore Rd Casper WY 82609-3345 |
| Practice Telephone | 3078562185 |
| Practice Fax Number | 3078566502 |
| Mailing Telephone | 3072336000 |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | TAMRA MUNSELL (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 3072336092 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fremont County Pediactrics Riverton | Doing Business As Name - Organization |
| Fremont County Pediatrics Riverton | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 704 Fremont Ave, Riverton, WY 82501 | 3078562185 | 3078566502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457823007 | Community Health Center of Central Wyoming Inc | Clinic/Center | 223 N Cherry St, Pavillion, WY 82523-5005 | 2018-12-20 |
| 1275810160 | Community Health Center of Central Wyoming Inc | Clinic/Center | 2002 W. Sunset Dr., Suite 2, Riverton, WY 82501-2285 | 2011-11-07 |
| 1205308855 | Community Health Center of Central Wyoming Inc | Clinic/Center | 115 Wyoming St, Lander, WY 82520-3919 | 2018-12-20 |
| 1629543152 | Community Health Center of Central Wyoming Inc | Pharmacy | 5000 Blackmore Rd, Casper, WY 82609-3345 | 2018-10-11 |
| 1063951762 | Community Health Center of Central Wyoming Inc | Clinic/Center | 5000 Blackmore Rd, Casper, WY 82609-3345 | 2017-02-15 |
| 1306136205 | Community Health Center of Central Wyoming Inc | Clinic/Center | 5647 Us Hwy 26, Dubois, WY 82513-0577 | 2011-04-12 |
| 1073673042 | Community Health Center of Central Wyoming Inc | Pharmacy | 5000 Blackmore Rd, Casper, WY 82609-3345 | 2006-12-11 |
| Street Address |
704 FREMONT AVE |
| City | RIVERTON |
| State | WY |
| Zip Code | 82501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 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 |
| 1497006241 | Kim Joann Bird | Registered Nurse | 613 E Jefferson Ave, Riverton, WY 82501 | 2012-09-19 |
| Find all providers in zip 82501 | ||||
| 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 |
|---|---|---|---|---|
| 1699292391 | Wind River Cares Riverton | Clinic/Center | 511 North 12 Street East, Riverton, WY 82501 | 2017-08-24 |
| 1275810160 | Community Health Center of Central Wyoming Inc | Clinic/Center | 2002 W. Sunset Dr., Suite 2, Riverton, WY 82501-2285 | 2011-11-07 |
| 1417931379 | Pendleton Community Care, Inc. | Clinic/Center | 16921 Mountaineer Drive, Riverton, WV 26814-0101 | 2005-12-05 |
| 1285193060 | Wind River Family & Community Health Care | Clinic/Center | 511 N 12th St E, Riverton, WY 82501-3809 | 2019-03-19 |
| 1942490891 | Wind River Health System, Inc | Clinic/Center | 511 N 12th St E, Suite B, Riverton, WY 82501-3809 | 2007-07-26 |
| 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 |
| 1457823007 | Community Health Center of Central Wyoming Inc | Clinic/Center | 223 N Cherry St, Pavillion, WY 82523-5005 | 2018-12-20 |
| 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 |
| 1700964699 | Wind River Health Systems | Clinic/Center | 5647 Us Hwy 26, Dubois, WY 82513-0577 | 2006-11-01 |
| 1770518532 | Indian Health Service | Clinic/Center | Bldg. 29 Black Coal Drive, Fort Washakie, WY 82514-0128 | 2006-07-11 |
| 1205308855 | Community Health Center of Central Wyoming Inc | Clinic/Center | 115 Wyoming St, Lander, WY 82520-3919 | 2018-12-20 |
| 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.