WYOMING HEALTH MEDICAL GROUP, LLC
NPI 1376210989
Clinic/Center - Multi-Specialty in Casper, WY

NPI Status: Active since August 23, 2021

Contact Information

1020 E 2ND ST STE 201
CASPER, WY
ZIP 82601
Phone: (307) 233-0250

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 53D0925425
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 08-29-2027

About WYOMING HEALTH MEDICAL GROUP, LLC

This page provides the complete NPI Profile along with additional information for Wyoming Health Medical Group, Llc, a provider established in Casper, Wyoming operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1376210989 assigned on August 2021. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dennis Laraway (Cfo)

NPI
1376210989
Provider Name
WYOMING HEALTH MEDICAL GROUP, LLC
Entity Type
Organization
Location Address
1020 E 2ND ST STE 201 CASPER, WY 82601
Location Phone
(307) 233-0250
Mailing Address
2901 N CENTRAL AVE STE 160 PHOENIX, AZ 85012
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-23-2021
Last Update Date
01-13-2022
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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 Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

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)
12084N0400XAllopathic & Osteopathic Physicians

Psychiatry & Neurology
Neurology

 

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area 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

DENNIS LARAWAY

Authorized Official Title
CFO
Authorized Official Phone
(602) 747-4000

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
53D0925425
Facility Type
Physician Office
Certificate Effective Date
August 30, 2025
Certificate Expiration Date
August 29, 2027
Laboratory Director
JAMES M. DAVIDSON
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Wyoming Health Medical Group, Llc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

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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 1376210989, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

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
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
0
Doubled → 0
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
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 7 → 14 → 5 2 → 4 0 → 0 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 3 + 1 + 4 + 6 + 4 + 1 + 0 + 9 + 1 + 6 + 24 = 61

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

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1376210989.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Physician Assistant
1020 E 2ND ST STE 201
CASPER, WY 82601
Physician Assistant
1020 E 2ND ST STE 201
CASPER, WY 82601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376210989, enumerated as an "organization" on August 23, 2021.

The provider is located at 1020 E 2ND ST STE 201 CASPER, WY 82601 and the phone number is (307) 233-0250.

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