ROCKY MOUNTAIN FAMILY MEDICINE LLC NPI 1164650719

NPI Information

NPI: 1164650719
Provider Name: ROCKY MOUNTAIN FAMILY MEDICINE LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 53D1103510

Address:
5840 E 2ND ST. SUITE 200
CASPER, WY
ZIP 82601
Phone: (307) 315-6133
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ROCKY MOUNTAIN FAMILY MEDICINE LLC is a primary care clinic center in Casper, WY. ROCKY MOUNTAIN FAMILY MEDICINE LLC NPI is 1164650719. The provider is registered as an organization entity type.

The provider's business location address is:

5840 E 2ND ST. SUITE 200
CASPER, WY
ZIP 82601
Phone: (307) 315-6133
Fax: (307) 315-6134

The provider's authorized official is Eric J Lawrence .
The authorized official title is Owner and has the following contact phone number (307) 315-6133.

The CLIA number assigned to this NPI record is 53D1103510 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/22/2009 and was last updated on 7/27/2018.

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: 4/28/2024

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