BANNER HEALTH PHYSICIANS WEST LLC (NPI# 1669073516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669073516 |
| Entity Type | Organization |
| Organization Name | BANNER HEALTH PHYSICIANS WEST LLC |
| Practice Address |
201 14th St Ste B100 Wheatland WY 82201-3201 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 3073223861 |
| Practice Fax Number | 3073228205 |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2020-11-06 |
| Authorized Official Name | DENNIS LARAWAY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 6027474000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BANNER MEDICAL GROUP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528678786 | Banner Health Physicians West LLC | Clinic/Center | 2300 Gasser Rd, Riverton, WY 82501-2204 | 2020-08-03 |
| 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 |
| 1639682370 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-11-15 |
| 1568909968 | Banner Health Physicians West LLC | Clinic/Center | 443 Big Horn St, Thermopolis, WY 82443-2306 | 2017-01-23 |
| 1942672977 | Banner Health Physicians West LLC | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2015-10-29 |
| 1962882845 | Banner Health Physicians West LLC | Clinic/Center | 1551 Brice St, Wheatland, WY 82201-3505 | 2015-06-04 |
| 1598145476 | Banner Health Physicians West LLC | Clinic/Center | 222 S 5th St, Douglas, WY 82633-2534 | 2015-06-04 |
| 1568885655 | Banner Health Physicians West LLC | Clinic/Center | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2014-01-27 |
| 1154768042 | Banner Health Physicians West LLC | Clinic/Center | 200 South A Street, Hawthorne, NV 89415 | 2013-05-31 |
| Street Address |
201 14TH ST STE B100 |
| City | WHEATLAND |
| State | WY |
| Zip Code | 82201-3201 |
| 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 | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639617145 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-02-03 |
| 1689289084 | Banner Health Physicians Colorado LLC | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2020-09-11 |
| 1639682370 | Banner Health Physicians West LLC | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2017-11-15 |
| 1710413323 | Platte County Memorial Hospital | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2017-05-03 |
| 1568997096 | Banner Medical Clinic Wheatland LLC | Clinic/Center | 201 14th St, Wheatland, WY 82201-3201 | 2017-04-21 |
| 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 |
| 1962882845 | Banner Health Physicians West LLC | Clinic/Center | 1551 Brice St, Wheatland, WY 82201-3505 | 2015-06-04 |
| 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 |
| Find all providers in WHEATLAND | ||||
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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.