BANNER MEDICAL CLINIC WHEATLAND LLC (NPI# 1568997096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568997096 |
| Entity Type | Organization |
| Organization Name | BANNER MEDICAL CLINIC WHEATLAND LLC |
| Practice Address |
201 14th St Wheatland WY 82201-3201 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 3073223636 |
| Practice Fax Number | 3073225755 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |
| 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 |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Street Address |
201 14TH ST |
| City | WHEATLAND |
| State | WY |
| Zip Code | 82201-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861461873 | Louis D Tepoel | Emergency Medicine | 201 14th St, Wheatland, WY 82201-3201 | 2006-03-14 |
| 1689289084 | Banner Health Physicians Colorado LLC | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2020-09-11 |
| 1710413323 | Platte County Memorial Hospital | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2017-05-03 |
| 1811360449 | Platte County Memorial Hospital | Ambulance | 201 14th St, Wheatland, WY 82201-3201 | 2015-11-04 |
| 1942672977 | Banner Health Physicians West LLC | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2015-10-29 |
| 1659756898 | Platte County Memorial Hospital | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2015-07-29 |
| 1770905978 | Deborah Ann Collins | Dietitian, Registered | 201 14th St, Wheatland, WY 82201-3201 | 2014-01-08 |
| 1598005126 | Banner Health Physicians Colorado LLC | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2013-02-19 |
| 1801134812 | Banner Hospital Based Physicians Colorado LLC | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2013-01-25 |
| 1851639900 | Banner Imaging Associates of North Colorado | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2013-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790214104 | Kayla Dockter | Speech-Language Pathologist | 371 S. Kansas, Guernsey, WY 82201 | 2017-06-08 |
| 1932484763 | Diana Blanche Lengkeek | Counselor | 917 Gilchrist Street, Suite 2, Wheatland, WY 82201 | 2011-10-12 |
| 1750669321 | Kari Magnuson | Counselor | 602 9th St, Wheatland, WY 82201 | 2011-07-29 |
| 1871619726 | Barbara Larson | Counselor | 1954 W Mariposa Prkwy, Wheatland, WY 82201 | 2007-03-22 |
| 1699812776 | Mark Joseph Anderson | Dentist | 1950 South St, Wheatland, WY 82201 | 2007-01-30 |
| 1548342298 | Jo Lynn Hawthorne | Obstetrics & Gynecology | 2350 22nd Street, Wheatland, WY 82201 | 2006-10-20 |
| 1770692857 | Services for Seniors Program, Inc | Public Health or Welfare | 1605 16th Street, Wheatland, WY 82201 | 2006-08-30 |
| 1376037077 | Brittany Jenkins-stofflet | Community Health Worker | 1954 W Mariposa Pkwy, Wheatland, WY 82201 | 2018-06-18 |
| 1821324567 | Platte County Hospital District Board | Skilled Nursing Facility | 204 15th St, Wheatland, WY 82201 | 2009-10-31 |
| 1255407706 | David Beauprez | Chiropractor | 1557 Oak St, Wheatland, WY 82201-2237 | 2006-11-27 |
| Find all providers in zip 82201 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386728798 | St. Clair County Hospital District #1 | Clinic/Center | Hwy 54 East, Wheatland, MO 65779 | 2006-10-24 |
| 1538199252 | Sutter North Medical Foundation | Clinic/Center | 411 4th St, Wheatland, CA 95692-9467 | 2006-07-05 |
| 1003413212 | Memorial Hospital of Converse County | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2020-10-01 |
| 1235670092 | Platte County Memorial Hospital | Clinic/Center | 1551 Brice St, Wheatland, WY 82201-3505 | 2017-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376084160 | Platte County Memorial Hospital | Clinic/Center | 1 E. Whalen St., Guernsey, WY 82214 | 2017-03-14 |
| 1477789790 | Bartholomew Family Medicine, PC | Clinic/Center | 1208 S. River St, Saratoga, WY 82331-0648 | 2009-06-01 |
| 1659537694 | Cedar Hills Family Clinic, P.C. | Clinic/Center | 717 Pine Street, Upton, WY 82730 | 2008-07-30 |
| 1831242759 | Platte Valley Medical Clinic PC | Clinic/Center | 1208 South River Street, Saratoga, WY 82331 | 2007-01-22 |
| 1487756102 | Medicine Bow Health Center, Inc. | Clinic/Center | 514 Idaho Dr, Medicine Bow, WY 82329-0037 | 2006-09-02 |
| 1871503375 | Memorial Hospital of Converse County | Clinic/Center | 650 W Whalen, Guernsey, WY 82214-9999 | 2006-08-08 |
| 1679582357 | Memorial Hospital of Converse County | Clinic/Center | 525 East Birch Street, Glenrock, WY 82637 | 2006-08-05 |
| 1750311072 | Lusk Medical Clinic | Clinic/Center | 119 West 3rd Street, Lusk, WY 82225 | 2006-07-03 |
| 1184611089 | Noyes Health Care Center Inc | Clinic/Center | 305 Whippoorwill St, Pob 307, Baggs, WY 82321-0307 | 2005-10-05 |
| 1225666332 | Hot Springs County Hospital District | Clinic/Center | 1125 Charles Ave, Worland, WY 82401-4021 | 2020-04-01 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BANNER MEDICAL CLINIC WHEATLAND LLC.
| 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.