SOUTH LINCOLN HOSPITAL DISTRICT NPI 1689207722

NPI Information

NPI: 1689207722
Provider Name: SOUTH LINCOLN HOSPITAL DISTRICT

Doing Business As: ARROWHEAD FAMILY MEDICINE

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

Specialization: Rural Health

Address:
195 FEATHER WAY STOP 100
EVANSTON, WY
ZIP 82930
Phone: (307) 200-9200
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SOUTH LINCOLN HOSPITAL DISTRICT is a rural health clinic center in Evanston, WY. SOUTH LINCOLN HOSPITAL DISTRICT NPI is 1689207722. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Arrowhead Family Medicine.

The provider's business location address is:

195 FEATHER WAY STOP 100
EVANSTON, WY
ZIP 82930-352
Phone: (307) 200-9200

The provider's authorized official is Karl E Sundberg .
The authorized official title is Ceo/ao and has the following contact phone number (307) 877-4401.

The CLIA number assigned to this NPI record is 53D2151458 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/18/2020 and was last updated on 4/26/2021.

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	207Q00000X	Family Medicine				No
2	261QR1300X	Clinic/Center	Rural Health			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

NPI Synchronization or Removal

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