DUBOIS MEDICAL CLINIC
NPI 1306136205
Clinic/Center - Federally Qualified Health Center (FQHC) in Dubois, WY
About Dubois Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DUBOIS MEDICAL CLINIC (NPI 1306136205) is a healthcare organization registered as a federally qualified health center (fqhc) in Dubois, Wyoming and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Amanda Sisco, Revenue Cycle Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dubois Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Dubois Medical Clinic, which bills Medicare for the services they deliver. Of these, 2 practice at this address. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 36Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 53D0880688
Dubois Medical Clinic · Dubois, WYFrequently 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 Community Health Center Of Central Wyoming Inc's NPI number?
The NPI number for Community Health Center Of Central Wyoming Inc is 1306136205. It was assigned to this organization in the NPPES registry on April 12, 2011. The provider is doing business as Dubois Medical Clinic.
Where is Community Health Center Of Central Wyoming Inc located?
Community Health Center Of Central Wyoming Inc is located at 5647 Us Hwy 26, Dubois, WY 82513. The listed phone number is (307) 455-2516.
What is Community Health Center Of Central Wyoming Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is Community Health Center Of Central Wyoming Inc enrolled in Medicare?
Yes. Community Health Center Of Central Wyoming Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Community Health Center Of Central Wyoming Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 6 Medicare specialties reassign their Medicare billing to Community Health Center Of Central Wyoming Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (22), Clinical Social Worker (5) and Mental Health Counselor (4). Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Community Health Center Of Central Wyoming Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 53D0880688) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Community Health Center Of Central Wyoming Inc accept?
Health plans from Blue Cross Blue Shield of Wyoming list Community Health Center Of Central Wyoming Inc 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 Community Health Center Of Central Wyoming Inc was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dubois Medical Clinic · NPI 1306136205
Federally Qualified Health Center (FQHC) organization in Dubois, Wyoming. Organization record, active in the CMS NPPES registry since April 12, 2011.
## Identity
- **NPI:** 1306136205 (Entity type: Organization)
- **Enumerated:** April 12, 2011
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Community Health Center Of Central Wyoming Inc
- **Organization subpart:** No
- **Authorized official:** Amanda Sisco, REVENUE CYCLE MANAGER
## Practice location
- **Address:** 5647 US HWY 26, Dubois, WY 82513-0577
- **Phone:** (307) 455-2516 · **Fax:** (307) 455-2526
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 36 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (22), Clinical Social Worker (5), Mental Health Counselor (4); 2 practice at this address; [full list](https://npiprofile.com/npi/1306136205/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1306136205) · Data from the CMS NPPES public registry.