LARAMIE PEAK RURAL HEALTH CLINIC
NPI 1003413212
Clinic/Center - Rural Health in Wheatland, WY
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 53D0662194
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 03-13-2028
About LARAMIE PEAK RURAL HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Laramie Peak Rural Health Clinic, a primary care provider established in Wheatland, Wyoming operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1003413212 assigned on October 2020. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Laramie Peak Rural Health Clinic. The authorized official of this NPI record is James M Cussins (Cfo)
- NPI
- 1003413212 Verify this NPI
- Provider Legal Name
- MEMORIAL HOSPITAL OF CONVERSE COUNTY
- Other Organization Name
- LARAMIE PEAK RURAL HEALTH CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1356 SHIEK ST WHEATLAND, WY 82201
- Location Phone
- (307) 358-7300
- Mailing Address
- PO BOX 1450 DOUGLAS, WY 82633
- Mailing Phone
- (307) 358-1403
- Mailing Fax
- (307) 358-3432
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 10-01-2020
- Last Update Date
- 10-07-2020
- Code Navigator
A primary care provider (PCP) like Laramie Peak Rural Health Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 53D0662194
- Facility Type
- Hospital
- Certificate Effective Date
- March 14, 2026
- Certificate Expiration Date
- March 13, 2028
- Laboratory Director
- NYASHA BULLOCK
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Laramie Peak Rural Health Clinic on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003413212, enumerated as an "organization" on October 01, 2020.
The provider is located at 1356 SHIEK ST WHEATLAND, WY 82201 and the phone number is (307) 358-7300.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
