HOWARD MEDICAL CLINIC INC (NPI# 1588853162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588853162 |
| Entity Type | Organization |
| Organization Name | HOWARD MEDICAL CLINIC INC |
| Practice Address |
3810 E Grand Ave Laramie WY 82070-5179 |
| Practice Telephone | 3077454884 |
| Mailing Telephone | 3077454884 |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |
| Authorized Official Name | ANN H THEDIECK (OWNER) |
| Authorized Official Telephone | 3077454884 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
6716A | WY | Ambulatory Health Care Facilities |
| Street Address |
3810 E GRAND AVE |
| City | LARAMIE |
| State | WY |
| Zip Code | 82070-5179 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932299740 | Laramie Clinic, P.C. | Family Medicine | 3810 E Grand Ave, Suite A, Laramie, WY 82070-5179 | 2006-10-13 |
| 1902443096 | Jennifer Lombardi | Nurse Practitioner | 3810 E Grand Ave, Laramie, WY 82070-5179 | 2019-12-08 |
| 1740682020 | Shawn Rockey | Physician Assistant | 3810 E Grand Ave, Laramie, WY 82070-5179 | 2014-09-18 |
| 1144560384 | Mary Elizabeth Bender | Nurse Practitioner | 3810 E Grand Ave, Laramie, WY 82070-5179 | 2013-02-25 |
| 1063720605 | Care United Medical Center of Laramie, LLC | Clinic/Center | 3810 E Grand Ave, Laramie, WY 82070-5179 | 2010-09-16 |
| 1184863342 | Courtney Gordon | Physician Assistant | 3810 E Grand Ave, Laramie, WY 82070-5179 | 2009-02-11 |
| 1770774937 | Rachel Morrow | Physician Assistant | 3810 E Grand Ave, Laramie, WY 82070-5179 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
| 1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
| 1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
| 1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
| 1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
| 1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
| 1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
| 1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
| 1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
| 1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
| Find all providers in zip 82070 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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| 1578949533 | Amaris Spang | Clinic/Center | 1008 E Main St, Riverton, WY 82501-3730 | 2015-07-31 |
| 1740605088 | Tailored Nutrition LLC | Clinic/Center | 37 S Main St, Sheridan, WY 82801-4221 | 2014-02-24 |
| 1659713048 | Walgreens | Clinic/Center | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2013-07-25 |
| 1508138470 | Deines Chiropractic, LLC | Clinic/Center | 25 E Alger St, Sheridan, WY 82801-3911 | 2012-02-07 |
| 1427370873 | Banner Professional Services | Clinic/Center | 400 S 15th St, Worland, WY 82401-3531 | 2010-02-25 |
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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.