WYOMING BEHAVIORAL INSTITUTE GILLETTE CLINIC
NPI 1093903379
Clinic/Center - Mental Health (Including Community Mental Health Center) in Gillette, WY
- Organization
- Clinic/Center
- Mental Health (Including Community Menta...
- CLIA Number: 53D0935366
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 10-27-2027
About WYOMING BEHAVIORAL INSTITUTE GILLETTE CLINIC
This page provides the complete NPI Profile along with additional information for Wyoming Behavioral Institute Gillette Clinic, a provider established in Gillette, Wyoming operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1093903379 assigned on October 2007. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Wyoming Behavioral Institute Gillette Clinic. The authorized official of this NPI record is Steve Filton (Cfo Sr Vp)
- NPI
- 1093903379 Verify this NPI
- Provider Legal Name
- UHS OF WYOMING, INC.
- Other Organization Name
- WYOMING BEHAVIORAL INSTITUTE GILLETTE CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 518 N HIGHWAY 14 16 GILLETTE, WY 82716
- Location Phone
- (307) 682-0442
- Mailing Address
- 2521 E 15TH ST CASPER, WY 82609
- Mailing Phone
- (307) 237-7444
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-11-2007
- Last Update Date
- 10-23-2013
- Code Navigator
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 Mental Health (Including Community Mental Health Center)
- Taxonomy Code
- 261QM0801X
- 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
- 53D0935366
- Facility Type
- Hospital
- Certificate Effective Date
- October 28, 2025
- Certificate Expiration Date
- October 27, 2027
- Laboratory Director
- MR. MIRANDA BLAJSZCZAK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wyoming Behavioral Institute Gillette Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093903379, enumerated as an "organization" on October 11, 2007.
The provider is located at 518 N HIGHWAY 14 16 GILLETTE, WY 82716 and the phone number is (307) 682-0442.
Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).