Organization
CLEAN CLINIC WYOMING
Active
Organization
CLEAN CLINIC WYOMING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LORENCE A HARMER (CEO)
(801) 946-4045
Entity
Organization
Contact information
Practice address
1918 THOMES AVE, CHEYENNE, WY 82001-3527
(928) 242-9929
Mailing address
63 E 11400 S # 275, SANDY, UT 84070-6705
(801) 946-4045
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
02/17/2024
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up