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Contact Information

WOMENS CLINIC OF NORTHEASTERN WYOMING PC
212 W BURKITT ST
SHERIDAN, WY82801-4206
 Phone: 307-672-0401
 Fax: 307-672-0317
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for WOMENS CLINIC OF NORTHEASTERN WYOMING PC

NPI Number 1982775508
LBN Legal business name WOMENS CLINIC OF NORTHEASTERN WYOMING PC
Authorized official TIMOTHY SCOTT - (PRESIDENT OF PC)
Entity Organization
Organization subpart 1 No
Enumeration date 11/13/2006
Last updated 10/10/2007 - About 19 years ago
Identifiers
WY License # 13730119
WY License # 2719A
WY Medicaid 107189100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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