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Contact Information

TATUM-MERE HEALTH AND COMMUNITY SERV INC.
1208 HILLTOP DR STE 203
ROCK SPRINGS, WY82901-5859
 Phone: 307-212-9472
 Fax: 307-460-7411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

207LP2900X 05 Physician/Anesthesiology
Indicates primary specialty

NPI Profile & details for TATUM-MERE HEALTH AND COMMUNITY SERV INC.

NPI Number 1134352560
LBN Legal business name TATUM-MERE HEALTH AND COMMUNITY SERV INC.
Authorized official KRISTEN PREISCH - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/02/2009
Last updated 12/29/2020 - About 5 years ago
Identifiers
WY Medicaid 121146000
WY Medicaid 131487400
Other W22909 PTAN
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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