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RENDEZVOUS MEDICAL NPI 1770990426


NPI Information

NPI: 1770990426
Provider Name: RENDEZVOUS MEDICAL
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1035 ROSE LN
SUITE D
RIVERTON, WY
ZIP 82501
Phone: (307) 856-0382
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RENDEZVOUS MEDICAL is a clinic center in Riverton, WY. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). RENDEZVOUS MEDICAL NPI is 1770990426. The provider is registered as an organization entity type.

The provider's business location address is:

1035 ROSE LN
SUITE D
RIVERTON, WY
ZIP 82501-286
Phone: (307) 856-0382
Fax: (307) 856-0385

The provider's authorized official is Christy D Kraus .
The authorized official title is Clinical Manager and has the following contact phone number (307) 856-4959.

The enumeration date for this NPI number is 7/15/2014 and was last updated on 7/15/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/Center261Q00000XWYOMINGYes

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
1W26111MEDICARE PINWYOMING

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: 11/14/2023

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.