Grand Avenue Urgent Care, LLC
NPI 1174983118 · Urgent Care Clinic/Center · Laramie, WY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Avenue Urgent Care, LLC is a Urgent Care Clinic/Center organization in Laramie, WY (NPI 1174983118).
Provider details
- NPI number
- 1174983118
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- John Jacobs, Owner(307) 760-8602
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-03-03
- Last updated
- 2016-03-03
Frequently asked questions
- What is Grand Avenue Urgent Care, LLC's NPI number?
- Grand Avenue Urgent Care, LLC's National Provider Identifier (NPI) is 1174983118, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Avenue Urgent Care, LLC?
- Grand Avenue Urgent Care, LLC is classified in the NPPES registry as Urgent Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Grand Avenue Urgent Care, LLC located?
- Grand Avenue Urgent Care, LLC's practice location on file with NPPES is 3236 E Grand Ave Ste D, Laramie, WY 82070-5100.
- What is Grand Avenue Urgent Care, LLC's phone number?
- The practice phone number listed in the NPPES registry for Grand Avenue Urgent Care, LLC is (307) 760-8602.
- Does Grand Avenue Urgent Care, LLC accept Medicare?
- Grand Avenue Urgent Care, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grand Avenue Urgent Care, LLC?
- The authorized official listed on Grand Avenue Urgent Care, LLC's NPPES record is John Jacobs, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Avenue Urgent Care, LLC's NPI active?
- Yes — Grand Avenue Urgent Care, LLC's NPI (1174983118) is active in the NPPES registry as of the last update on 2016-03-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.