Clean Clinic Wyoming

LBN: Clean Clinic Wyoming
Clean Clinic Wyoming is an health care organization with primary practice located at 1918 Thomes Ave , Cheyenne WY 82001-3527. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Medicine, which is considered as the primary health care specialty. Clean Clinic Wyoming can be contacted via phone (928) 242-9929, or through Harmer, Lorence A via phone (801) 946-4045.

Contact Information

Primary practice address
1918 Thomes Ave Cheyenne WY 82001-3527
Phone: (928) 242-9929
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Harmer, Lorence A
Phone: (801) 946-4045

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X

Profile Details

NPI number 1548909153
LBN Legal business name Clean Clinic Wyoming
DBA Doing business as
Authorized official Harmer, Lorence A
Entity Organization
Organization subpart 1 No
Enumeration date Jun 1st, 2022
Last updated Feb 17th, 2024 - about 10 months ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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