Pine Bluffs Clinic – Federally Qualified Health Center (FQHC), NPI 1316340417

Pine Bluffs Clinic is a healthcare provider. based in Cheyenne, Wyoming. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Pine Bluffs Clinic is 1316340417

Main info

Organization
Name
Pine Bluffs Clinic
NPI
1316340417
Phone
(307) 245-3666
Address
820 E 17TH ST
Authorized Official
RONALD MALM PROGRAM DIRECTOR MD
Enumeration Date
2 October 2014
Last Update Date
13 April 2016
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness80
Years active:11State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for Pine Bluffs Clinic

  • 820 E 17TH ST

    CHEYENNE, WY 820014714

    Phone: (307) 245-3666

    Type: Mailing

  • 117 E 4TH ST

    PINE BLUFFS, WY 82082

    Phone: (307) 245-3666

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82001)

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Reviews

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Frequently asked questions

What number should I use to identify Pine Bluffs Clinic for billing?
Administrative and clinical systems typically use NPI 1316340417 for Pine Bluffs Clinic.
Is Pine Bluffs Clinic's NPI status active today?
Active status means Pine Bluffs Clinic's NPI record is not deactivated in the public file.
Which specialty label fits Pine Bluffs Clinic?
NPPES ties Pine Bluffs Clinic to Federally Qualified Health Center (FQHC) in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Pine Bluffs Clinic?
Pine Bluffs Clinic shows a connection to Cheyenne, Wyoming in registry-derived data.
Can I export Pine Bluffs Clinic's record?
You can download the official NPPES record; we summarize key fields for readability.

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