| Community Health Center Of Central Wyoming, Inc. | |
|
5000 Blackmore Rd Casper WY 82609-3345 | |
| (307) 233-6000 | |
| Not Available |
| Full Name | Community Health Center Of Central Wyoming, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 5000 Blackmore Rd, Casper, Wyoming |
| Authorized Official Name and Position | Amanda Sisco (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 3072336000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Health Center Of Central Wyoming, Inc. 5000 Blackmore Rd Casper WY 82609-3345 Ph: (307) 233-6000 | Community Health Center Of Central Wyoming, Inc. 5000 Blackmore Rd Casper WY 82609-3345 Ph: (307) 233-6000 |
| NPI Number | 1447480561 |
|---|---|
| Provider Enumeration Date | 07/23/2009 |
| Last Update Date | 03/08/2024 |
| Medicare PECOS PAC ID | 3375454705 |
|---|---|
| Medicare Enrollment ID | O20031105000279 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447480561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Sandee K Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972642700 PECOS PAC ID: 5294764726 Enrollment ID: I20070517000294 |
| Provider Name | H Karl Radke |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720188972 PECOS PAC ID: 0648234831 Enrollment ID: I20110301000443 |
| Provider Name | Laura M Hunsaker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134296668 PECOS PAC ID: 8426136185 Enrollment ID: I20150722004576 |
| Provider Name | Mildred L Payette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740540061 PECOS PAC ID: 7911210703 Enrollment ID: I20150722006291 |
| Provider Name | Carol A King |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982840427 PECOS PAC ID: 2769792878 Enrollment ID: I20151102001607 |
| Provider Name | Ashley K Mudder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750633384 PECOS PAC ID: 7517268303 Enrollment ID: I20151221001986 |
| Provider Name | Brenda J Threlkeld |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619367927 PECOS PAC ID: 5799080701 Enrollment ID: I20160229000904 |
| Provider Name | Jennifer Helmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588071310 PECOS PAC ID: 7719277763 Enrollment ID: I20160929001259 |
| Provider Name | Lisa S. Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659734390 PECOS PAC ID: 3072893585 Enrollment ID: I20161129000844 |
| Provider Name | Tara Blumenshine |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1588026009 PECOS PAC ID: 8628359262 Enrollment ID: I20161220000412 |
| Provider Name | Marilyn Irene Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871945832 PECOS PAC ID: 6002100419 Enrollment ID: I20171129001169 |
| Provider Name | Ashley M Oviedo Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841797461 PECOS PAC ID: 1456699446 Enrollment ID: I20200618000442 |
| Provider Name | Daniel Matthew Bender |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427585488 PECOS PAC ID: 6507284775 Enrollment ID: I20200921001566 |
| Provider Name | Abigail Layne Arross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033750716 PECOS PAC ID: 9234548231 Enrollment ID: I20210504000479 |
| Provider Name | Melanie Ann Scarbrough |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891061511 PECOS PAC ID: 8628395167 Enrollment ID: I20210525001683 |
| Provider Name | Hollie Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306389432 PECOS PAC ID: 9739434705 Enrollment ID: I20210719000828 |
| Provider Name | Jordan Nichole Lodel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235891169 PECOS PAC ID: 1658761366 Enrollment ID: I20211210001451 |
| Provider Name | Kristen Kohlbrand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275270092 PECOS PAC ID: 8123401338 Enrollment ID: I20220822001850 |
| Provider Name | Patricia Walton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649563164 PECOS PAC ID: 8022289529 Enrollment ID: I20230517001630 |
| Provider Name | Shanda Barlow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124608088 PECOS PAC ID: 9638535503 Enrollment ID: I20230518001864 |
| Provider Name | Steven Baum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205339090 PECOS PAC ID: 3173850294 Enrollment ID: I20230522003026 |
| Provider Name | Maggie M Bonilla |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649705492 PECOS PAC ID: 3577981141 Enrollment ID: I20230524001200 |
| Provider Name | Aven G Glazer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184123556 PECOS PAC ID: 0446512370 Enrollment ID: I20230606000591 |
| Provider Name | Cheryl Lynn Fallin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720189368 PECOS PAC ID: 8820455892 Enrollment ID: I20230606003142 |
| Provider Name | Kyle Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316309610 PECOS PAC ID: 4183955040 Enrollment ID: I20230607003717 |
| Provider Name | Sarah Burt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689067506 PECOS PAC ID: 8022476688 Enrollment ID: I20230614002394 |
| Provider Name | Sandra Hope |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740762426 PECOS PAC ID: 2264775659 Enrollment ID: I20230714000105 |
| Provider Name | Kally Ray Saydjari |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124653100 PECOS PAC ID: 5597127902 Enrollment ID: I20230817000672 |
| Provider Name | Angela Brown |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760812697 PECOS PAC ID: 7517322787 Enrollment ID: I20240105000949 |
| Provider Name | Maliha D Owens |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144621079 PECOS PAC ID: 8224472469 Enrollment ID: I20240215003472 |
| Provider Name | Susanne Elisabeth Ridley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124724158 PECOS PAC ID: 5496192270 Enrollment ID: I20240328002542 |
Wyocity Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 940 E 3rd St Ste 205, Casper, WY 82601 Phone: 307-394-1341 | |
Gunflint Eye Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10577 Bishop Rd, Casper, WY 82604 Phone: 307-439-0100 | |
Community Health Center Of Central Wyoming Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Blackmore Rd, Casper, WY 82609 Phone: 307-233-6092 | |
Western Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2546 E 2nd St, Suite 600, Casper, WY 82609 Phone: 307-265-3737 Fax: 307-265-3700 | |
Mind Of Peace Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 S Durbin St, Casper, WY 82601 Phone: 308-631-6066 | |
Rocky Mountain Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5840 E 2nd St. Suite 200, Casper, WY 82601 Phone: 307-315-6133 Fax: 307-315-6134 | |
Imed Hrs Casper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 801-507-3500 |