PPM WYOMING LLC - NPI 1366289290 - Clinic/Center in Afton, WY

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.

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About Ppm Wyoming Llc NPPES

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

PPM WYOMING LLC (NPI 1366289290) is a healthcare organization registered as a multi-specialty in Afton, Wyoming and active in the NPI registry since July 2024. The organization lists Amber Tueller, Corporate Secretary, as its authorized official.

NPPES Registry Identity

NPI1366289290

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePPM WYOMING LLC

Location Address770 S WASHINGTON ST STE BAfton, WY 83110-5135

Mailing Address1916 N 700 W Ste 110Layton, UT 84041-5754 · (385) 427-1570

Phone(888) 253-6598

Organization SubpartNo

Authorized OfficialAmber TuellerCorporate Secretary · (208) 401-1400

Enumeration DateJuly 9, 2024

NPPES CertifiedJuly 9, 2024

✔ NPI 1366289290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

770 S WASHINGTON ST STE B, Afton, WY 83110

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STAR VALLEY HEALTHCARE, INC.

Hospice Care, Community Based

770 S WASHINGTON ST STE B
AFTON, WY 83110

Lincoln County (307) 885-7583

STAR VALLEY HEALTHCARE, INC.

Home Health

770 S WASHINGTON ST STE B
AFTON, WY 83110

Lincoln County (307) 885-7583

Frequently Asked Questions

What is PPM WYOMING LLC's NPI number?

The NPI number assigned to this healthcare provider is 1366289290, enumerated as an "organization" on July 09, 2024.

Where is the provider located?

The provider is located at 770 S WASHINGTON ST STE B AFTON, WY 83110 and the phone number is (888) 253-6598.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.