# URGENT CARE OF WYOMING INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gillette Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609896455
- **Authorized official:** DR. JOHN C SHERSHOW M.D. (OWNER)
- **Authorized official phone:** (800) 388-9299

## Contact information

- **Practice address:** 2007 S DOUGLAS HWY, E2, GILLETTE, WY 82718-5400
- **Practice address phone:** (307) 686-5750
- **Practice address fax:** (307) 686-5748
- **Mailing address:** 2007 S DOUGLAS HWY, SUITE E2, GILLETTE, WY 82718-5400
- **Mailing address phone:** (307) 686-5750
- **Mailing address fax:** (307) 686-5748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | NULL | Yes |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/21/2006
- **Last updated:** 11/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01188001 | BLUE CROSS GROUP NUMBER | WY |
| 05 | — | 119768100 | — | WY |