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MEDICINE BOW RURAL HEALTH CARE DISTRICT NPI 1487756102


NPI Information

NPI: 1487756102
Provider Name: MEDICINE BOW RURAL HEALTH CARE DISTRICT

Other Name: MEDICINE BOW RURAL HEALTH CARE DISTRICT

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 53D0519815

Address:
514 IDAHO DR
MEDICINE BOW, WY
ZIP 82329
Phone: (307) 379-2222
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MEDICINE BOW RURAL HEALTH CARE DISTRICT is a rural health clinic center in Medicine Bow, WY. MEDICINE BOW RURAL HEALTH CARE DISTRICT NPI is 1487756102. The provider is registered as an organization entity type.
The provider Other Name Is Medicine Bow Rural Health Care District.

The provider's business location address is:

514 IDAHO DR
MEDICINE BOW, WY
ZIP 82329-037
Phone: (307) 379-2222
Fax: (307) 379-2223

The provider's authorized official is Adam Barron .
The authorized official title is Ma/cpt/emt and has the following contact phone number (307) 379-2222.

The CLIA number assigned to this NPI record is 53D0519815 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 9/2/2006 and was last updated on 3/3/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR1300XClinic/CenterRural HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1106597100MEDICAIDWYOMING

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.