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BRIDGER VALLEY URGENT CARE LLC NPI 1952729857


NPI Information

NPI: 1952729857
Provider Name: BRIDGER VALLEY URGENT CARE, LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 53D2077535

Address:
3580 STATE HIGHWAY 414
LYMAN, WY
ZIP 82937
Phone: (208) 542-9111
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BRIDGER VALLEY URGENT CARE, LLC is an emergency medicine in Lyman, WY. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. BRIDGER VALLEY URGENT CARE, LLC NPI is 1952729857. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3580 STATE HIGHWAY 414
LYMAN, WY
ZIP 82937
Phone: (208) 542-9111
Fax: (208) 542-9114

The provider's authorized official is Edwin Marlowe Goble .
The authorized official title is Owner and has the following contact phone number (208) 542-9111.

The CLIA number assigned to this NPI record is 53D2077535 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 3/29/2014 and was last updated on 3/29/2014.


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
1207P00000XEmergency Medicine2650AWYOMINGYes

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: 5/5/2024

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