Organization
COLLEGE DRIVE URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS M KANE (AUTHORIZED OFFICIAL)
(888) 705-8558
Entity
Organization
Contact information
Practice address
2030 BLUEGRASS CIR, CHEYENNE, WY 82009-7328
(307) 635-3500
(307) 635-2199
Mailing address
2145 E BASELINE RD STE 303, TEMPE, AZ 85283-1515
(888) 705-8558
(480) 776-0025
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
314332
BLUE CROSS BLUE SHIELD
WY
01
—
314333
BLUE CROSS BLUE SHIELD
WY
01
—
314338
BSWY
WY
01
—
315527
BSWY
WY
Enumeration date
09/11/2008
Last updated
04/29/2025
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