307 Longevity PC
NPI 1316783673 · Clinic/Center · Cody, WY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
307 Longevity PC is a Clinic/Center organization in Cody, WY (NPI 1316783673).
Provider details
- NPI number
- 1316783673
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Thoma, Owner(307) 899-0009
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
2 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
Other names (DBA / former)
- Doing business as
- The Legacy Clinic
Registry dates
- Enumerated
- 2024-07-06
- Last updated
- 2024-07-06
- Certified
- 2024-07-06
Frequently asked questions
- What is 307 Longevity PC's NPI number?
- 307 Longevity PC's National Provider Identifier (NPI) is 1316783673, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 307 Longevity PC?
- 307 Longevity PC is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is 307 Longevity PC located?
- 307 Longevity PC's practice location on file with NPPES is 1120 Beck Ave, Cody, WY 82414-3624.
- What is 307 Longevity PC's phone number?
- The practice phone number listed in the NPPES registry for 307 Longevity PC is (307) 527-0355.
- Does 307 Longevity PC accept Medicare?
- 307 Longevity PC 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 307 Longevity PC?
- The authorized official listed on 307 Longevity PC's NPPES record is Christopher Thoma, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 307 Longevity PC's NPI active?
- Yes — 307 Longevity PC's NPI (1316783673) is active in the NPPES registry as of the last update on 2024-07-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.