HEALTHWORKS MED GROUP OF WYOMING, PC (NPI# 1851535793) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1851535793 |
Entity Type | Organization |
Organization Name | HEALTHWORKS MED GROUP OF WYOMING, PC |
Other Organization Name | COALITION FAMILY HEALTH CENTER |
Practice Address |
430 S Medical Arts Ct Gillette WY 82716-3364 |
Mailing Address |
16906 Collection Center Dr Chicago IL 60693-0169 |
Practice Telephone | 3076856500 |
Practice Fax Number | 3076853081 |
Mailing Telephone | 3076856500 |
Mailing Fax Number | 3076853081 |
Enumeration Date | 2009-04-22 |
Last Update Date | 2013-05-29 |
Authorized Official Name | ROCHELLE BROOME (OWNER) |
Authorized Official Telephone | 6154686548 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
WY | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Coalition Family Health Center | Doing Business As Name - Organization |
Street Address |
430 S MEDICAL ARTS CT |
City | GILLETTE |
State | WY |
Zip Code | 82716-3364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871524272 | Denise Richards | Physician Assistant | 430 S Medical Arts Ct, Gillette, WY 82716-3364 | 2006-07-05 |
1902153323 | Douglas Tew | Physician Assistant | 430 S Medical Arts Ct, Gillette, WY 82716-3364 | 2012-08-06 |
1124301619 | Kimberly Faucett | Pharmacist | 430 S Medical Arts Ct, Gillette, WY 82716-3364 | 2011-09-21 |
1407182397 | Christy Lynn Steiner | Pharmacist | 430 S Medical Arts Ct, Gillette, WY 82716-3364 | 2009-10-27 |
1558594952 | Danica Marie Andela | Pharmacist | 430 S Medical Arts Ct, Gillette, WY 82716-3364 | 2009-09-01 |
1932338431 | Janet L. Call | Nurse Practitioner | 430 S Medical Arts Ct, Gillette, WY 82716-3364 | 2009-07-07 |
1144497603 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 430 S Medical Arts Ct, Gillette, WY 82716-3364 | 2008-05-14 |
1124188545 | Antelope Medical Consultants LLC | Nurse Practitioner | 430 S Medical Arts Ct, Gillette, WY 82716-3364 | 2006-12-08 |
1902987258 | Helen Drake Iams | Family Medicine | 430 S Medical Arts Ct, Gillette, WY 82716 | 2006-10-17 |
1497861652 | Cynthia Marie Casey | Family Medicine | 430 S Medical Arts Ct, Gillette, WY 82716-3364 | 2006-08-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053822387 | Diana Lynn Ohman | Dietitian, Registered | 709 West Eighth Street, Suite 4, Gillette, WY 82716 | 2017-10-13 |
1821457821 | Courage To Change Counseling LLC | Community/Behavioral Health | 113 S. Gillette Ave, Gillette, WY 82716 | 2016-02-18 |
1003290594 | Kris Huber | Community/Behavioral Health | 905 Gurley Ave, Gillette, WY 82716 | 2015-07-14 |
1649516857 | Shirley L Haley | Nurse Practitioner | 1304 West 4th Street, Gillette, WY 82716 | 2012-12-14 |
1174867188 | Rebecca J Mader | Registered Nurse | 501 South Burma Ave., Gillette, WY 82716 | 2012-11-15 |
1568728228 | Kerry Elizabeth Warner | Registered Nurse | 201 S Burma Ave, Gillette, WY 82716 | 2012-04-07 |
1720363351 | Julie Ann Faldalen | Licensed Practical Nurse | 501 South Burma, Gillette, WY 82716 | 2011-10-14 |
1083937486 | Clear Creek Counseling LLC | Counselor | 801 E. 4th St., Suite 24, Gillette, WY 82716 | 2010-03-12 |
1821241423 | Dianna L Knox | Counselor | 500 S Burma Ave, Gillette, WY 82716 | 2008-10-28 |
1588826887 | Scott R Hunter | Chiropractor | 439 Prairie View Place Ste D, Dr S R Hunter, Gillette, WY 82716 | 2008-06-27 |
Find all providers in zip 82716 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750726212 | High Desert Healthcare LLC | Clinic/Center | 1013 East Boxelder Rd, Suite 200, Gillette, WY 82718 | 2013-05-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205382819 | Stagecoach Health PC | Clinic/Center | 511 Osborne St., Baggs, WY 82321 | 2016-09-01 |
1316383888 | Frontier Family Practice LLC | Clinic/Center | 1123 Big Horn Ave, Worland, WY 82401-2802 | 2013-05-10 |
1730477266 | Cowboy Urgent Care, Inc | Clinic/Center | 519 8th Street, Rawlins, WY 82301 | 2011-07-19 |
1164650719 | Rocky Mountain Family Medicine LLC | Clinic/Center | 5840 E 2nd St. Suite 200, Casper, WY 82601 | 2009-06-22 |
1639359045 | Sunrise Chiropractic Inc | Clinic/Center | 1439 Stillwater Ave Ste 5, Cheyenne, WY 82009-7367 | 2007-11-14 |
1396801908 | Healing Element Chiropractic LLC | Clinic/Center | 621 N 10th St E, Riverton, WY 82501-2906 | 2006-12-28 |
1265521363 | Medcor of Barrington, PC | Clinic/Center | One Mammoth Hot Springs, Yellowstone Nat'l Park, Mammoth, WY 82190 | 2006-10-12 |
1811925423 | Bhs Physician Services - Torrington | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2006-06-30 |
1235170705 | St. Vincent Healthcare | Clinic/Center | 720 Lindsay Ln, Suite A, Cody, WY 82414-4103 | 2006-06-08 |
1225081649 | Campbell County Hospital District | Clinic/Center | 500 Latigo Drive, Wright, WY 82732-0100 | 2006-05-18 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on HEALTHWORKS MED GROUP OF WYOMING, PC.
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.