GRAND AVENUE URGENT CARE, LLC (NPI# 1174983118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174983118 |
Entity Type | Organization |
Organization Name | GRAND AVENUE URGENT CARE, LLC |
Practice Address |
3236 E Grand Ave Ste D Laramie WY 82070-5100 |
Practice Telephone | 3077608602 |
Mailing Telephone | 3077608602 |
Enumeration Date | 2016-03-03 |
Last Update Date | 2016-03-03 |
Authorized Official Name | JOHN JACOBS (OWNER) |
Authorized Official Telephone | 3077608602 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
Street Address |
3236 E GRAND AVE STE D |
City | LARAMIE |
State | WY |
Zip Code | 82070-5100 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497184378 | John Jacobs IIi | Nurse Practitioner | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2013-11-01 |
1477109445 | Philip Lerory Sanders IIi | Nurse Practitioner | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2019-08-14 |
1982051850 | Chris Otto | Physician Assistant | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2016-05-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548875164 | Roland Maldonado | Registered Nurse | 258 Nth Hayes Street, Laramie, WY 82070 | 2020-09-10 |
1528429917 | Spark | Community/Behavioral Health | 903 S 9th Street, Laramie, WY 82070 | 2016-03-11 |
1578968509 | Melissa Marie Allen | Speech-Language Pathologist | 1613 Clydesdale, Laramie, WY 82070 | 2014-11-04 |
1316362155 | Charles M. Alexander | Pharmacist | 3112 E. Grand Ave, Laramie, WY 82070 | 2014-03-04 |
1447685706 | Dale Warren Van Wig | Pharmacist | 544 N. Third St, Pharmacy, Laramie, WY 82070 | 2013-09-05 |
1558619973 | Sarah Marie Pence | Pharmacist | 4005 East Grand Ave, Laramie, WY 82070 | 2012-08-15 |
1437435567 | Stephanie Ingalls | Case Manager/Care Coordinator | 69 Osprey Rd., Laramie, WY 82070 | 2011-11-03 |
1457634040 | The Clinic for Mental Health and Wellness | Counselor | 504 South 4th Street, Laramie, WY 82070 | 2011-09-21 |
1316177371 | Patricia Ann Casey | Occupational Therapist | Laramie Care Center, 503 S. 18th St., Laramie, WY 82070 | 2009-07-23 |
1134322340 | Linda K Cross | Case Manager/Care Coordinator | 315 So 8th, Laramie, WY 82070 | 2007-06-06 |
Find all providers in zip 82070 |
Taxonomy Code | 261QU0200X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Urgent Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376859322 | Laramie Urgent Care | Clinic/Center | 1252 N 22nd St Unit A, Laramie, WY 82072-5306 | 2010-08-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124662879 | Buffalo Urgent Care Inc | Clinic/Center | 496 Fort St, Buffalo, WY 82834-1806 | 2019-11-05 |
1851894810 | Great Plains Telehealth | Clinic/Center | 3901 S College Park Ct, Gillette, WY 82718-9441 | 2018-03-15 |
1275070708 | Sugar Land Walk-in Clinic | Clinic/Center | 1005 Sugarland Dr, Sheridan, WY 82801 | 2017-01-23 |
1609118686 | Dennis Goldberg | Clinic/Center | 1254 Lane 8, Powell, WY 82435-9303 | 2013-03-18 |
1053493403 | Medcor of Barrington, PC | Clinic/Center | 1 Old Faithful Hot Springs, Yellowstone Nat'l Park, WY 82190 | 2006-10-19 |
1467939918 | South Lincoln Hospital District | Clinic/Center | 711 Onyx St, Kemmerer, WY 83101-3214 | 2018-07-26 |
1578824801 | Cheyenne Regional Urgent Care, LLC | Clinic/Center | 433 E 19th St, Cheyenne, WY 82001-4643 | 2012-06-04 |
1437416443 | Frontier Medical Providers | Clinic/Center | 433 E 19th St, Cheyenne, WY 82001-4643 | 2012-04-15 |
1457651663 | Americas Express Urgent Care, LLC | Clinic/Center | 7124 Commons Dr, Suite C, Cheyenne, WY 82009-2620 | 2010-10-22 |
1881901601 | Camel Country Clinic, LLC | Clinic/Center | 1206 W 4th St, Suite 2, Gillette, WY 82716-3300 | 2010-09-01 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.