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

NPI Status: Active since August 01, 2007

Contact Information

745 BUENA VISTA DR
LANDER, WY
ZIP 82520
Phone: (307) 332-2941
Fax: (307) 332-2068

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • CLIA Number: 53D2272708
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 11-27-2026

About LANDER MEDICAL CLINIC DMEPOS

This page provides the complete NPI Profile along with additional information for Lander Medical Clinic Dmepos, a provider established in Lander, Wyoming operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1467642884 assigned on August 2007. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's other name is Lander Medical Clinic Dmepos. The authorized official of this NPI record is Broc Codi White Md (President)

NPI
1467642884
Provider Legal Name
LANDER MEDICAL CLINIC, P.C.
Other Organization Name
LANDER MEDICAL CLINIC DMEPOS
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
745 BUENA VISTA DR LANDER, WY 82520
Location Phone
(307) 332-2941
Location Fax
(307) 332-2068
Mailing Address
745 BUENA VISTA DR LANDER, WY 82520
Mailing Phone
(307) 332-2941
Mailing Fax
(307) 332-2068
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-01-2007
Last Update Date
09-16-2024
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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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

BROC CODI WHITE MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(307) 332-2941

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0823410001OTHER (01)WYMEDICARE DMEPOS
143593100MEDICAID (05)WY 

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
53D2272708
Facility Type
Community Clinic
Certificate Effective Date
November 28, 2024
Certificate Expiration Date
November 27, 2026
Laboratory Director
BRIAN D. GEE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Lander Medical Clinic Dmepos 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 1467642884, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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
4
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
7
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
4
Unchanged
Pos 7
2
Doubled → 4
Pos 8
8
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
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 6 → 12 → 3 6 → 12 → 3 2 → 4 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

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

2 + 4 + 1 + 2 + 7 + 1 + 2 + 4 + 4 + 8 + 1 + 6 + 24 = 66

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

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1467642884.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Physician Assistant
745 BUENA VISTA DR
LANDER, WY 82520
Internal Medicine
745 BUENA VISTA DR
LANDER, WY 82520
Family Medicine
745 BUENA VISTA DR
LANDER, WY 82520
Obstetrics & Gynecology
745 BUENA VISTA DR
LANDER, WY 82520
Physician Assistant
745 BUENA VISTA DR
LANDER, WY 82520
Obstetrics & Gynecology
745 BUENA VISTA DR
LANDER, WY 82520
Physical Therapist
745 BUENA VISTA DR
LANDER, WY 82520
Physical Therapist
745 BUENA VISTA DR
LANDER, WY 82520
Physical Medicine & Rehabilitation
745 BUENA VISTA DR
LANDER, WY 82520
Internal Medicine
745 BUENA VISTA DR
LANDER, WY 82520
Psychiatry & Neurology (Neurology)
745 BUENA VISTA DR
LANDER, WY 82520
Obstetrics & Gynecology
745 BUENA VISTA DR
LANDER, WY 82520
Family Medicine
745 BUENA VISTA DR
LANDER, WY 82520
Internal Medicine
745 BUENA VISTA DR
LANDER, WY 82520
Physician Assistant
745 BUENA VISTA DR
LANDER, WY 82520
Family Medicine
745 BUENA VISTA DR
LANDER, WY 82520
Pediatrics
745 BUENA VISTA DR
LANDER, WY 82520
Pediatrics
745 BUENA VISTA DR
LANDER, WY 82520
Family Medicine
745 BUENA VISTA DR
LANDER, WY 82520
Advanced Practice Midwife
745 BUENA VISTA DR
LANDER, WY 82520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467642884, enumerated as an "organization" on August 01, 2007.

The provider is located at 745 BUENA VISTA DR LANDER, WY 82520 and the phone number is (307) 332-2941.

Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.