HIGH DESERT HEALTHCARE LLC NPI 1750726212

NPI Information

NPI: 1750726212
Provider Name: HIGH DESERT HEALTHCARE LLC

Doing Business As: HIGH DESERT HEALTHCARE

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
1013 EAST BOXELDER RD
SUITE 200
GILLETTE, WY
ZIP 82718
Phone: (307) 257-7620
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HIGH DESERT HEALTHCARE LLC is a primary care clinic center in Gillette, WY. HIGH DESERT HEALTHCARE LLC NPI is 1750726212. The provider is registered as an organization entity type.
The provider Is Doing Business As High Desert Healthcare.

The provider's business location address is:

1013 EAST BOXELDER RD
SUITE 200
GILLETTE, WY
ZIP 82718
Phone: (307) 257-7620
Fax: (307) 257-7618

The provider's authorized official is Alicia Mae Lepard .
The authorized official title is Owner and has the following contact phone number (307) 257-7620.

The enumeration date for this NPI number is 5/9/2013 and was last updated on 10/11/2018.

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	261QP2300X	Clinic/Center	Primary Care		WYOMING	Yes

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: 11/14/2023

NPI Synchronization or Removal

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