BANNER HOSPITAL BASED PHYSICIANS WEST LLC


Address: 1405 Howell Ave, Worland, WY 82401-4127
Phone: 3073472555

BANNER HOSPITAL BASED PHYSICIANS WEST LLC (NPI# 1619464120) 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) 1619464120
Entity Type Organization
Organization Name BANNER HOSPITAL BASED PHYSICIANS WEST LLC
Practice Address 1405 Howell Ave
Worland
WY 82401-4127
Mailing Address 2901 N Central Ave Ste 160
Phoenix
AZ 85012-2702
Practice Telephone 3073472555
Practice Fax Number 3073479831
Enumeration Date 2018-04-19
Last Update Date 2018-04-19
Authorized Official Name DENNIS LARAWAY (SR VP FINANCE)
Authorized Official Telephone 6027474000
Is Organization Subpart Y
Parent Organization Name BANNER MEDICAL GROUP

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 1405 HOWELL AVE
City WORLAND
State WY
Zip Code 82401-4127

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104854710 Wmc Clinic Clinic/Center 1405 Howell Ave, Worland, WY 82401-4127 2006-06-30
1356892640 Shantay Stallings Physician Assistant 1405 Howell Ave, Worland, WY 82401 2016-10-21
1386022630 Amber Moss Family Medicine 1405 Howell Ave, Worland, WY 82401 2015-05-07
1740437557 Joseph Edward Tritchler Jr. Physician Assistant 1405 Howell Ave, Worland, WY 82401-4127 2008-08-22
1942370879 Mark A Flinner Family Medicine 1405 Howell Ave, Worland, WY 82401 2006-11-08

Providers in the same zip code

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 Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104854710 Wmc Clinic Clinic/Center 1405 Howell Ave, Worland, WY 82401-4127 2006-06-30
1568847705 Washakie Medical Center Clinic/Center 400 S 15th St, Worland, WY 82401-3531 2015-07-29
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

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1669073516 Banner Health Physicians West LLC Clinic/Center 201 14th St Ste B100, Wheatland, WY 82201-3201 2020-11-06
1528678786 Banner Health Physicians West LLC Clinic/Center 2300 Gasser Rd, Riverton, WY 82501-2204 2020-08-03
1568927127 Hope and Guidance LLC Clinic/Center 78 North St, Laramie, WY 82072-9579 2019-02-07
1902399389 Serenity Counseling & Mental Health Services Clinic/Center 747 Patches, Carpenter, WY 82054-9403 2018-06-11
1235620204 Graves and Associates LLC Clinic/Center 2020 E Grand Ave Ste 429, Laramie, WY 82070-4380 2018-05-24
1205333721 Veronica Pedersen, Lcsw, LLC Clinic/Center 3712 Snyder Ave, Cheyenne, WY 82001-1163 2018-04-11
1114452166 Pauljordanwashburnmd, LLC. Clinic/Center 5720 Osage Ave, 3-301, Cheyenne, WY 82009-3948 2017-04-27
1639617145 Banner Health Physicians West LLC Clinic/Center 1356 Shiek St, Wheatland, WY 82201-3231 2017-02-03
1275913105 Banner Health Physicians West LLC Clinic/Center 1 E Whalen Street, Guernsey, WY 82214 2015-06-05
1447661319 Healthworks Med Group of Wyoming P C Clinic/Center 2723 Christensen Rd, Cheyenne, WY 82007-9662 2014-05-14
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Competitor

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City WORLAND
Zip Code 82401

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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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