FAMILY CARE CLINIC, LLC


Address: 504 E Lyons St, Laramie, WY 82072-2132
Phone: 3077450085

FAMILY CARE CLINIC, LLC (NPI# 1285777607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285777607
Entity Type Organization
Organization Name FAMILY CARE CLINIC, LLC
Practice Address 504 E Lyons St
Laramie
WY 82072-2132
Practice Telephone 3077450085
Practice Fax Number 3077450084
Mailing Telephone 3077450085
Mailing Fax Number 3077450084
Enumeration Date 2007-02-15
Last Update Date 2015-12-04
Authorized Official Name CARLA JILL LEINEN (OWNER)
Authorized Official Telephone 3077450085
Authorized Official Credential APRN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP2300X Clinic/Center
Specialization: Primary Care
Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
WY CLIA 53D1012895 01
WY 118524100 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1811329592 Family Care Clinic, LLC Clinic/Center 8050 W Rifleman St Ste 100, Boise, ID 83704-9006 2013-08-05

Office Location

Street Address 504 E LYONS ST
City LARAMIE
State WY
Zip Code 82072-2132

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386725653 Carla Jill Leinen Nurse Practitioner 504 E Lyons St, Laramie, WY 82072-2132 2006-10-17
1124574629 Teresa E Thompson Nurse Practitioner 504 E Lyons St, Laramie, WY 82072-2132 2016-08-25

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Taxonomy Information

Taxonomy Code 261QP2300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1750726212 High Desert Healthcare LLC Clinic/Center 1013 East Boxelder Rd, Suite 200, Gillette, WY 82718 2013-05-09
1730477266 Cowboy Urgent Care, Inc Clinic/Center 519 8th Street, Rawlins, WY 82301 2011-07-19
1164650719 Rocky Mountain Family Medicine LLC Clinic/Center 5840 E 2nd St. Suite 200, Casper, WY 82601 2009-06-22
1639359045 Sunrise Chiropractic Inc Clinic/Center 1439 Stillwater Ave Ste 5, Cheyenne, WY 82009-7367 2007-11-14
1396801908 Healing Element Chiropractic LLC Clinic/Center 621 N 10th St E, Riverton, WY 82501-2906 2006-12-28
1265521363 Medcor of Barrington, PC Clinic/Center One Mammoth Hot Springs, Yellowstone Nat'l Park, Mammoth, WY 82190 2006-10-12
1811925423 Bhs Physician Services - Torrington Clinic/Center 625 Albany Ave, Torrington, WY 82240-1530 2006-06-30
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Competitor

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City LARAMIE
Zip Code 82072

Improve Information

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Dataset Information

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.

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