BANNER MEDICAL CLINIC TORRINGTON LLC (NPI# 1871034637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871034637 |
| Entity Type | Organization |
| Organization Name | BANNER MEDICAL CLINIC TORRINGTON LLC |
| Practice Address |
625 Albany Ave Torrington WY 82240-1530 |
| Mailing Address |
2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 |
| Practice Telephone | 3075322107 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-04-13 |
| 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 |
625 ALBANY AVE |
| City | TORRINGTON |
| State | WY |
| Zip Code | 82240-1530 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811925423 | Bhs Physician Services - Torrington | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2006-06-30 |
| 1528542719 | Monica Nicole Teichert | Nurse Practitioner | 625 Albany Ave, Torrington, WY 82240-1530 | 2018-09-24 |
| 1174005367 | Annmarie Valentine Wilson | Nurse Practitioner | 625 Albany Ave, Torrington, WY 82240-1530 | 2018-09-04 |
| 1336633296 | Jill Truesdale | Physician Assistant | 625 Albany Ave, Torrington, WY 82240-1530 | 2018-06-14 |
| 1164950036 | Community Hospital | General Acute Care Hospital | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-23 |
| 1710413141 | Gerald Albert Walker Jr. | Clinical Nurse Specialist | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-04 |
| 1174059786 | Community Hospital | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-03 |
| 1558776476 | Matthew Mattis | Physician Assistant | 625 Albany Ave, Torrington, WY 82240-1530 | 2014-06-30 |
| 1063778728 | Banner Health Physicians West LLC | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2012-04-06 |
| 1427334739 | Laura Rachel Halley | Nurse Practitioner | 625 Albany Ave, Torrington, WY 82240-1530 | 2011-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083144968 | Alexy Cooley | Case Manager/Care Coordinator | 117 West 22nd, Torrington, WY 82240 | 2017-06-14 |
| 1063962009 | Kelsey Grant | Counselor | 1419 Main Street, Torrington, WY 82240 | 2016-10-13 |
| 1962818443 | Britton Michael Marsh | Dentist | 2017 Campbell Drive, Torrington, WY 82240 | 2014-07-07 |
| 1538588645 | Pratt - Lovercheck Practice | Social Worker | 231 Camino Del Rey, Torrington, WY 82240 | 2014-04-16 |
| 1912257312 | Sharon L Bates | Case Manager/Care Coordinator | 2802 West C St, Torrington, WY 82240 | 2012-09-12 |
| 1629342530 | Nathan A Moeller | Dentist | 211 E 20th Ave, Torrington, WY 82240 | 2012-02-24 |
| 1932471919 | Jody Ann Harper | Counselor | 136 West 21st Ave., Torrington, WY 82240 | 2012-02-06 |
| 1669701520 | Healing Concepts of Wyoming Inc | Chiropractor | 1925 East A Street, Torrington, WY 82240 | 2009-12-23 |
| 1720220072 | Bruce O Ross | Counselor | St. Joseph's Children's Home, 1419 Main St, Torrington, WY 82240 | 2009-04-01 |
| 1225247646 | Charles Clinton Kilgore | Chiropractor | 127 West 21st Avenue, Torrington, WY 82240 | 2007-05-22 |
| Find all providers in zip 82240 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174059786 | Community Hospital | Clinic/Center | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-03 |
| 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 |
| 1003413212 | Memorial Hospital of Converse County | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2020-10-01 |
| Find all providers with the same taxonomy | ||||
| City | TORRINGTON |
| Zip Code | 82240 |
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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.