JACKSON HOLE MEDICAL IMAGING PC NPI 1669586632

NPI Information

NPI: 1669586632
Provider Name: JACKSON HOLE MEDICAL IMAGING, PC

Doing Business As: JH MEDICAL IMAGING PC

Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
625 E BROADWAY
ST JOHNS MEDICAL CENTER-DEPT OF RADIOLOGY
JACKSON, WY
ZIP 83001
Phone: (307) 733-5229
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JACKSON HOLE MEDICAL IMAGING, PC is a diagnostic radiology radiology in Jackson, WY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. JACKSON HOLE MEDICAL IMAGING, PC NPI is 1669586632. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jh Medical Imaging Pc.

The provider's business location address is:

625 E BROADWAY
ST JOHNS MEDICAL CENTER-DEPT OF RADIOLOGY
JACKSON, WY
ZIP 83001-496
Phone: (307) 733-5229

The provider's authorized official is Christopher Sean Haling .
The authorized official title is President and has the following contact phone number (307) 739-7280.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 4/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	107194700	MEDICAID	WYOMING
2	303983	OTHER	WYOMING	BCBS
3	0028898	MEDICAID	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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