WAMSUTTER COMMUNITY HEALTH CENTER26-
NPI 1194056127
Physician Assistant - Medical in Wamsutter, WY

NPI Status: Active since January 14, 2010

Contact Information

401 FULTZ DRIVE
WAMSUTTER, WY
ZIP 82336
Phone: (307) 328-0468
Fax: (307) 324-9438

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  • Organization
  • Physician Assistant
  • Medical
  • CLIA Number: 53D2148974
  • CLIA Cert. Type: Ambulance
  • CLIA Exp. Date: 05-21-2026

About WAMSUTTER COMMUNITY HEALTH CENTER26-

This page provides the complete NPI Profile along with additional information for Wamsutter Community Health Center26-, a primary care provider established in Wamsutter, Wyoming operating as a Physician Assistant, focusing in medical . The healthcare provider is registered in the NPI registry with number 1194056127 assigned on January 2010. The practitioner's primary taxonomy code is 363AM0700X with license number 279 (WY). The provider is registered as an organization and their NPI record was last updated 16 years ago. Wamsutter Community Health Center26- operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Marvin Wayne Couch Ii Md (Medical Director)

NPI
1194056127
Provider Name
WAMSUTTER COMMUNITY HEALTH CENTER26-
Entity Type
Organization
Location Address
401 FULTZ DRIVE WAMSUTTER, WY 82336
Location Phone
(307) 328-0468
Location Fax
(307) 324-9438
Mailing Address
PO BOX 208 WAMSUTTER, WY 82336
Mailing Phone
(307) 328-0468
Mailing Fax
(307) 324-9438
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-14-2010
Last Update Date
01-15-2010
Code Navigator

A primary care provider (PCP) like Wamsutter Community Health Center26- 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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
279
License State
WY

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

5629A (WY)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MARVIN WAYNE COUCH II MD

Authorized Official Title
MEDICAL DIRECTOR
Authorized Official Phone
(307) 324-6002

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
53D2148974
Facility Type
Ambulance
Certificate Effective Date
May 22, 2024
Certificate Expiration Date
May 21, 2026
Laboratory Director
MR. MATTHEW COX
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Wamsutter Community Health Center26- 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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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1194056127, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 53. The final step is to find the difference between that total and the next multiple of ten (60 - 53 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 6 → 12 → 3 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 8 + 4 + 0 + 5 + 1 + 2 + 1 + 4 + 24 = 53

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 53 is 60. The difference is the calculated check digit.

60 - 53 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1194056127.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Family Medicine
401 FULTZ DRIVE
WAMSUTTER, WY 82336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194056127, enumerated as an "organization" on January 14, 2010.

The provider is located at 401 FULTZ DRIVE WAMSUTTER, WY 82336 and the phone number is (307) 328-0468.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.