Organization
UNIVERSITY OF WYOMING
Active
Parent organization
UNIVERSITY OF WYOMING
Other names
Pine Bluffs Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF WYOMING
Authorized official
RONALD MALM MD (PROGRAM DIRECTOR)
(307) 632-2434
Entity
Organization
Contact information
Practice address
117 E 4TH ST, PINE BLUFFS, WY 82082
(307) 245-3666
Mailing address
820 E 17TH ST, CHEYENNE, WY 82001-4714
(307) 245-3666
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
10/02/2014
Last updated
04/13/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us