BANNER PROFESSIONAL SERVICES (NPI# 1427370873) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427370873 |
| Entity Type | Organization |
| Organization Name | BANNER PROFESSIONAL SERVICES |
| Practice Address |
400 S 15th St Worland WY 82401-3531 |
| Mailing Address |
1441 N 12th St Phoenix AZ 85006-2837 |
| Practice Telephone | 3073473221 |
| Enumeration Date | 2010-02-25 |
| Last Update Date | 2010-02-25 |
| Authorized Official Name | DENNIS DAHLEN (SR VP FINANCE) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Street Address |
400 S 15TH ST |
| City | WORLAND |
| State | WY |
| Zip Code | 82401-3531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558398867 | Dowie J. Vanderwerff | Nurse Anesthetist, Certified Registered | 400 S 15th St, Worland, WY 82401-3531 | 2006-06-26 |
| 1053823054 | Morgan Kinnes | Physical Therapist | 400 S 15th St, Worland, WY 82401-3531 | 2017-10-30 |
| 1932621091 | Nugent Ventures LLC | Internal Medicine | 400 S 15th St, Worland, WY 82401-3531 | 2017-07-11 |
| 1699224758 | Kwd Services LLC | Internal Medicine | 400 S 15th St, Worland, WY 82401-3531 | 2016-09-29 |
| 1568847705 | Washakie Medical Center | Clinic/Center | 400 S 15th St, Worland, WY 82401-3531 | 2015-07-29 |
| 1558753277 | Alpha Medical Inc | Family Medicine | 400 S 15th St, Worland, WY 82401-3531 | 2015-03-04 |
| 1700208808 | Grant Hospitalists Services, LLC | Hospitalist | 400 S 15th St, Worland, WY 82401-3531 | 2014-01-09 |
| 1649610205 | Jaime Mertz | Nurse Anesthetist, Certified Registered | 400 S 15th St, Worland, WY 82401-3531 | 2013-06-27 |
| 1558601278 | Banner Health Physicians Colorado LLC | Clinic/Center | 400 S 15th St, Worland, WY 82401-3531 | 2013-02-15 |
| 1629316641 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 400 S 15th St, Worland, WY 82401-3531 | 2013-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386284107 | Margaret Joan Mcdaniel | Registered Nurse | 1910 Sage Crossing Ave, Worland, WY 82401 | 2020-01-09 |
| 1902365240 | Worland Pharmacy Inc. | Pharmacy | 1095 Circle Rd, Worland, WY 82401 | 2019-03-17 |
| 1023547155 | Deborah J Anderson | Counselor | 401 South 23rd St, Worland, WY 82401 | 2017-06-12 |
| 1265808273 | Tang Mo Wong | Occupational Therapist | 1910 Howell Avenue, Worland, WY 82401 | 2015-08-12 |
| 1063783389 | William Jonas Tempany | Counselor | 406 S 6, Basin, WY 82401 | 2012-01-18 |
| 1609009133 | Sharon Eisele | Case Manager/Care Coordinator | 1216 Ti Bi Yek, Worland, WY 82401 | 2009-09-01 |
| 1295997013 | Benjamin B Wilde | Family Medicine | 1405 Howell, Worland, WY 82401 | 2008-07-02 |
| 1134390552 | Linda Kay Hausner | Registered Nurse | 401 South 23rd Street, 401 South 23rd Street, Worland, WY 82401 | 2008-03-13 |
| 1033302047 | Lisa Anne Stephens | Physical Therapist | 1313 Big Horn Ave, Worland, WY 82401 | 2007-08-22 |
| 1316147952 | Jeffries Dental, P.C. | Dentist | 3313 Paintbrush Lane, Worland, WY 82401 | 2007-07-23 |
| Find all providers in zip 82401 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275098659 | Mbs LLC | Clinic/Center | 312 W 2nd St # 1628, Casper, WY 82601-2412 | 2019-02-10 |
| 1922242353 | Wellness Screening | Clinic/Center | 1988 E 1st St, Suite A, Casper, WY 82601-2747 | 2009-04-29 |
| 1659566974 | Chiropractic Wellness Center, P.C. | Clinic/Center | 404 S Douglas Hwy, Gillette, WY 82716-4029 | 2007-09-10 |
| 1528052263 | Fremont Family Practice, P.C. | Clinic/Center | 1130 Major Ave, Riverton, WY 82501-2342 | 2005-09-08 |
| 1811501216 | Alden Vision LLC | Clinic/Center | 5880 E 2nd St Ste 100, Casper, WY 82609-4389 | 2020-09-02 |
| 1578949533 | Amaris Spang | Clinic/Center | 1008 E Main St, Riverton, WY 82501-3730 | 2015-07-31 |
| 1740605088 | Tailored Nutrition LLC | Clinic/Center | 37 S Main St, Sheridan, WY 82801-4221 | 2014-02-24 |
| 1659713048 | Walgreens | Clinic/Center | 1766 Coffeen Ave, Sheridan, WY 82801-5710 | 2013-07-25 |
| 1508138470 | Deines Chiropractic, LLC | Clinic/Center | 25 E Alger St, Sheridan, WY 82801-3911 | 2012-02-07 |
| 1134352560 | Tatum-mere Health and Community Serv Inc. | Clinic/Center | 1200 College Dr, Rock Springs, WY 82901-5868 | 2009-09-02 |
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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.