Cheyenne Medical Specialists Pc

LBN: Cheyenne Medical Specialists Pc
Cheyenne Medical Specialists Pc is an health care organization with primary practice located at 5050 Powderhouse Rd , Cheyenne WY 82009. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Laboratories / Clinical Medical Laboratory. Allopathic & Osteopathic Physicians / Body Imaging is the primary health care specialty. Cheyenne Medical Specialists Pc can be contacted via phone (307) 772-8226, or through Monger, Robert Matthew via phone (307) 772-8226.

Contact Information

Primary practice address
5050 Powderhouse Rd Cheyenne WY 82009
Phone: (307) 772-8226
Fax: (307) 634-1271
Website:
Map and Directions
Authorized official contact:
Name: Monger, Robert Matthew Doctor of Medicine (MD)
Phone: (307) 772-8226

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1356325278
LBN Legal business name Cheyenne Medical Specialists Pc
DBA Doing business as
Authorized official Monger, Robert Matthew Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2005
Last updated Dec 28th, 2007 - about 19 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356325278 NPPES
Other 1095 BLUE CROSS BLUE SHIELD
Other 5300519664 BLUE CROSS BLUE SHIELD

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