Organization
UNIVERSITY OF WYOMING
Active
Other names
Tri County Medical Center, University of Wyoming Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JONNIE JENKINS (CFO)
(307) 766-3010
Entity
Organization
Contact information
Practice address
820 E 17TH ST, CHEYENNE, WY 82001-4714
(307) 632-2434
(307) 638-3616
Mailing address
820 E 17TH ST, CHEYENNE, WY 82001-4714
(307) 632-2434
(307) 638-3616
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
WY
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107358301
—
WY
Enumeration date
09/20/2006
Last updated
04/22/2026
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