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SUBLETTE COUNTY HOSPITAL DISTRICT NPI 1104410596


NPI Information

NPI: 1104410596
Provider Name: SUBLETTE COUNTY HOSPITAL DISTRICT

Doing Business As: PINEDALE MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
625 E HENNICK ST
PINEDALE, WY
ZIP 82941
Phone: (307) 367-4133
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SUBLETTE COUNTY HOSPITAL DISTRICT is a family medicine in Pinedale, WY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUBLETTE COUNTY HOSPITAL DISTRICT NPI is 1104410596. The provider is registered as an organization entity type.
The provider Is Doing Business As Pinedale Medical Clinic.

The provider's business location address is:

625 E HENNICK ST
PINEDALE, WY
ZIP 82941-228
Phone: (307) 367-4133

The provider's authorized official is Kelli Ann Lovell .
The authorized official title is Business Office Manager and has the following contact phone number (307) 367-0021.

The enumeration date for this NPI number is 2/25/2021 and was last updated on 6/7/2023.


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
1261QU0200XClinic/CenterUrgent CareNo
2207Q00000XFamily MedicineYes

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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