Healthcare Provider Details

I. General information

NPI: 1669170577
Provider Name (Legal Business Name): ORTHO INSTACARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2023
Last Update Date: 11/26/2024
Certification Date: 11/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 E 1ST ST STE 102
CASPER WY
82601-2516
US

IV. Provider business mailing address

234 E 1ST ST STE 102
CASPER WY
82601-2516
US

V. Phone/Fax

Practice location:
  • Phone: 866-678-4699
  • Fax: 307-316-0705
Mailing address:
  • Phone: 866-678-4699
  • Fax: 307-316-0705

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH C MCGINLEY
Title or Position: OWNER
Credential: MD PHD
Phone: 866-678-4699