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CODY CLINIC
NPI 1104422237
Internal Medicine in Cody, WY

Active since December 04, 2020CLIA 53D2210975 · Waiver
2107 SHERIDAN AVENUE, CODY, WY 82414(307) 586-5303 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 17, 2021, Dec 4, 2020 (2 updates tracked since 2020).

About Cody Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CODY CLINIC (NPI 1104422237) is a healthcare organization registered as an internal medicine in Cody, Wyoming and active in the NPI registry since December 2020. The organization holds a CLIA Waiver certificate valid through January 24, 2027 and lists Judd L Larowe, President, as its authorized official.

NPPES Registry Identity

NPI1104422237
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCODY CLINIC
Location Address2107 SHERIDAN AVENUECody, WY 82414
Mailing AddressPo Box 727Cody, WY 82414-0727 · (307) 586-5303
Phone(307) 586-5303
Organization SubpartNo
Authorized OfficialJudd L LarowePresident · (307) 586-5303
Enumeration DateDecember 4, 2020
Last NPPES UpdateFebruary 17, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 17, 2021
✔ NPI 1104422237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2107 SHERIDAN AVENUE, Cody, WY 82414
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D2210975

Cody Clinic · Cody, WY
Active · expires Jan 24, 2027
CLIA Number53D2210975
Laboratory TypePhysician Office
Certificate Effective DateJanuary 25, 2025
Certificate Expiration DateJanuary 24, 2027
Laboratory DirectorJudd Larowe
Laboratory Phone(307) 586-5303
Laboratory LocationCody Clinic2107 Sheridan Ave, Cody, WY 82414
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cody Clinic's NPI number?

The NPI number for Cody Clinic is 1104422237. It was assigned to this organization in the NPPES registry on December 4, 2020.

Where is Cody Clinic located?

Cody Clinic is located at 2107 Sheridan Avenue, Cody, WY 82414. The listed phone number is (307) 586-5303.

What is Cody Clinic's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Cody Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2210975) is associated with this NPI, valid through January 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cody Clinic accept?

Health plans from Blue Cross Blue Shield of Wyoming list Cody Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Cody Clinic was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.