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LANDER MEDICAL CLINIC DMEPOS
NPI 1467642884
Durable Medical Equipment & Medical Supplies in Lander, WY

Active since August 01, 2007CLIA 53D0519922 · Certificate of Compliance
745 BUENA VISTA DR, LANDER, WY 82520(307) 332-2941(307) 332-2068 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lander Medical Clinic Dmepos NPPES

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

LANDER MEDICAL CLINIC DMEPOS (NPI 1467642884) is a healthcare organization registered as a durable medical equipment & medical supplies in Lander, Wyoming and active in the NPI registry since August 2007. The organization holds a CLIA Certificate of Compliance certificate valid through January 9, 2027 and lists Broc Codi White, President, as its authorized official.

NPPES Registry Identity

NPI1467642884
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLANDER MEDICAL CLINIC, P.C.
Location Address745 BUENA VISTA DRLander, WY 82520-3431
Mailing Address745 Buena Vista DrLander, WY 82520-3431 · (307) 332-2941 · Fax (307) 332-2068
Phone(307) 332-2941
Fax(307) 332-2068
Organization SubpartNo
Authorized OfficialBroc Codi WhitePresident · (307) 332-2941
Enumeration DateAugust 1, 2007
Last NPPES UpdateSeptember 16, 2024
NPPES CertifiedSeptember 16, 2024
✔ NPI 1467642884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
745 BUENA VISTA DR, Lander, WY 82520
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Other Names 1

Other NameLander Medical Clinic Dmepos

Other Identifiers 2

Other0823410001WY · Medicare Dmepos
Medicaid143593100WY

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 Compliance 53D0519922

Lander Medical Clinic · Lander, WY
Active · expires Jan 9, 2027
CLIA Number53D0519922
Laboratory TypePhysician Office
Certificate Effective DateJanuary 10, 2025
Certificate Expiration DateJanuary 9, 2027
Laboratory DirectorRyan Firth
Laboratory Phone(307) 332-2941
Laboratory LocationLander Medical Clinic745 Buena Vista Dr, Lander, WY 82520
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

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

BODYWORKS PHYSICAL THERAPY, PLLC
Physical Therapist
745 BUENA VISTA DR
LANDER, WY 82520
Fremont County (219) 851-5270
SHIRLEY E SCHATZA N.P.
Nurse Practitioner (Family)
745 BUENA VISTA DR
LANDER, WY 82520
Fremont County (307) 332-2941
MR. BROC CODI WHITE MD
Family Medicine
745 BUENA VISTA DR
LANDER, WY 82520
Fremont County (307) 332-2941
KRISTINE MARIE CARDINAL FNP-C
Nurse Practitioner (Family)
745 BUENA VISTA DR
LANDER, WY 82520
Fremont County (307) 332-2941
MRS. CAROL LEE QUILLEN P.A.-C.
Physician Assistant
745 BUENA VISTA DR
LANDER, WY 82520
Fremont County (307) 332-2941
BRIAN DALE GEE MD
Family Medicine
745 BUENA VISTA DR
LANDER, WY 82520
Fremont County (307) 332-2941
DR. JAMES CLAYTON BRUBAKER M.D.
Obstetrics & Gynecology
745 BUENA VISTA DR
LANDER, WY 82520
Fremont County (307) 332-2941
CLINTON MCMAHILL M.D.
Internal Medicine
745 BUENA VISTA DR
LANDER, WY 82520
Fremont County (307) 332-2941

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 Lander Medical Clinic, P.C.'s NPI number?

The NPI number for Lander Medical Clinic, P.C. is 1467642884. It was assigned to this organization in the NPPES registry on August 1, 2007. The provider is also known as Lander Medical Clinic Dmepos.

Where is Lander Medical Clinic, P.C. located?

Lander Medical Clinic, P.C. is located at 745 Buena Vista Dr, Lander, WY 82520. The listed phone number is (307) 332-2941.

What is Lander Medical Clinic, P.C.'s specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Lander Medical Clinic, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 53D0519922) is associated with this NPI, valid through January 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lander Medical Clinic, P.C. was last updated on September 16, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.