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CLEAN CLINIC WYOMING
NPI 1548909153
Family Medicine - Addiction Medicine in Cheyenne, WY

Active since June 01, 2022
1918 THOMES AVE, CHEYENNE, WY 82001(928) 242-9929 Get Directions Write a Review

NPPES record last updated: February 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clean Clinic Wyoming NPPES

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

CLEAN CLINIC WYOMING (NPI 1548909153) is a healthcare organization registered as an addiction medicine in Cheyenne, Wyoming and active in the NPI registry since June 2022. The organization lists Lorence A Harmer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548909153
Entity TypeOrganization
Primary Taxonomy207QA0401X
Legal Business NameCLEAN CLINIC WYOMING
Location Address1918 THOMES AVECheyenne, WY 82001-3527
Mailing Address63 E 11400 S # 275Sandy, UT 84070-6705 · (801) 946-4045
Phone(928) 242-9929
Organization SubpartNo
Authorized OfficialLorence A HarmerCeo · (801) 946-4045
Enumeration DateJune 1, 2022
Last NPPES UpdateFebruary 17, 2024
NPPES CertifiedFebruary 17, 2024
✔ NPI 1548909153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0401X
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
1918 THOMES AVE, Cheyenne, WY 82001
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming.Insurance ›

Other Providers at the Same Location NPPES 3

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

CAPITOL COUNSELING, LLC
Counselor (Professional)
1918 THOMES AVE
CHEYENNE, WY 82001
Laramie County (307) 631-5574
OUTSIDE THERAPY LLC
Counselor (Professional)
1918 THOMES AVE
CHEYENNE, WY 82001
Laramie County (307) 313-2777
ALYSE PFANKUCH MA
Counselor (Professional)
1918 THOMES AVE
CHEYENNE, WY 82001
Laramie County (307) 313-2777

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 Clean Clinic Wyoming's NPI number?

The NPI number for Clean Clinic Wyoming is 1548909153. It was assigned to this organization in the NPPES registry on June 1, 2022.

Where is Clean Clinic Wyoming located?

Clean Clinic Wyoming is located at 1918 Thomes Ave, Cheyenne, WY 82001. The listed phone number is (928) 242-9929.

What is Clean Clinic Wyoming's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Addiction Medicine, with taxonomy code 207QA0401X.

What insurance does Clean Clinic Wyoming accept?

Health plans from Blue Cross Blue Shield of Wyoming list Clean Clinic Wyoming 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 Clean Clinic Wyoming was last updated on February 17, 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.