DOMINION HEALTH INC.


Address: 109 517th St, Suite 25, Cheyenne, WY 82001
Phone: 7184360037

DOMINION HEALTH INC. (NPI# 1508162785) 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) 1508162785
Entity Type Organization
Organization Name DOMINION HEALTH INC.
Practice Address 109 517th St
Suite 25
Cheyenne
WY 82001
Mailing Address 5001a 15th Ave.
Brooklyn
NY 11219
Practice Telephone 7184360037
Practice Fax Number 7188533269
Mailing Telephone 7184360037
Mailing Fax Number 7188533269
Enumeration Date 2011-02-04
Last Update Date 2011-02-04
Authorized Official Name DR. ESTHER PHYLLIS PELLMUTTER (MD, CEO)
Authorized Official Telephone 7184360037
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine Allopathic & Osteopathic Physicians
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 109 517TH ST
SUITE 25
City CHEYENNE
State WY
Zip Code 82001

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1104360726 Jennifer Pannebaker Behavioral Analyst 813 Randall Ave, Cheyenne, WY 82001 2016-12-16
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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1811030554 Stride Learning Center Clinic/Center 326 Parsley Blvd, Cheyenne, WY 82007-1014 2007-02-14
1336315779 Access Health Care - LLC Clinic/Center 3100 Henderson Dr, Suite 9, Cheyenne, WY 82001-5846 2008-05-06
1821264326 Greene Chiropractic PC Clinic/Center 1507 Stillwater Ave, Ste B, Cheyenne, WY 82009-7358 2008-05-05

Providers in the same taxonomy and state

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1215414875 Goose Creek Dental Clinic Clinic/Center 642 Val Vista St Ste B, Sheridan, WY 82801-3660 2018-07-25
1609387711 Cedars Health Clinic/Center 1906 E Cedar St, Rawlins, WY 82301-6033 2017-10-16
1568905230 Sheridan Health Center, Inc Clinic/Center 31 E Whitney, Sheridan, WY 82801-4742 2016-11-29
1831580240 Snowy Range Health Center Clinic/Center 2523 E Garfield St Ste B, Laramie, WY 82070-4893 2015-02-07
1316340417 University of Wyoming Clinic/Center 117 E 4th St, Pine Bluffs, WY 82082 2014-10-02
1174833719 Memorial Hospital of Carbon County Clinic/Center 2213 E Cedar St, Rawlins, WY 82301-6027 2010-10-18
1154589018 Wyoming Healthy Optiona & Alternatives Inc Clinic/Center 1015 Ash, Rawlins, WY 82301-0000 2008-05-28
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Competitor

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City CHEYENNE
Zip Code 82001

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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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