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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WY | CLIA | 53D1012895 | 01 |
WY | 118524100 | 05 |
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 |
Street Address |
504 E LYONS ST |
City | LARAMIE |
State | WY |
Zip Code | 82072-2132 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629688924 | Colby Wolf | 16th & Gibbon, Department 3414, Laramie, WY 82072 | 2020-08-03 | |
1871947341 | Curran Quast | Case Manager/Care Coordinator | 1465 N 4th St Ste 111, Laramie, WY 82072 | 2016-04-20 |
1184030827 | David Hokanson | Dentist | 352 N. 4th Street, Laramie, WY 82072 | 2014-07-02 |
1356673297 | Aaron Lozano | Counselor | 1465 N. 4th Street #119, Laramie, WY 82072 | 2010-02-03 |
1407181092 | Maureen K. Johnson Inc | In Home Supportive Care | 2010 Reynolds H280, Laramie, WY 82072 | 2009-10-15 |
1316120991 | Nephrology Clinic PC | Clinic/Center | 3116 Willet Dr, Laramie, WY 82072 | 2007-12-06 |
1851410682 | Laramie Reproductive Health | Public Health or Welfare | 1252 N 22nd St Suite A, Laramie, WY 82072 | 2007-03-29 |
1942345327 | Fike Chiropractic Pain Relief | Chiropractor | 1267 N 15th St, Suite 123b, Laramie, WY 82072 | 2007-02-21 |
1336215441 | Laramie Pediatrics Internal Medicine | Internal Medicine | 1252 North 22nd St, Ste B, Laramie, WY 82072 | 2006-11-28 |
1407939218 | Ark Regional Services, Inc | Occupational Therapist | 1150 N 3rd Street, Laramie, WY 82072 | 2006-10-23 |
Find all providers in zip 82072 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
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1205382819 | Stagecoach Health PC | Clinic/Center | 511 Osborne St., Baggs, WY 82321 | 2016-09-01 |
1316383888 | Frontier Family Practice LLC | Clinic/Center | 1123 Big Horn Ave, Worland, WY 82401-2802 | 2013-05-10 |
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 |
1235170705 | St. Vincent Healthcare | Clinic/Center | 720 Lindsay Ln, Suite A, Cody, WY 82414-4103 | 2006-06-08 |
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.