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Contact Information

LANDER VALLEY PHYSICIAN PRACTICES, LLC
830 LINCOLN ST
LANDER, WY82520-2736
 Phone: 307-332-9577
 Fax: 307-332-3106
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Hospitalist

208M00000X
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Medical

363AM0700X 97 Physician Assistant
 

Neurology

2084N0400X 13 Physician/Neurology
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for LANDER VALLEY PHYSICIAN PRACTICES, LLC

NPI Number 1215971510
LBN Legal business name LANDER VALLEY PHYSICIAN PRACTICES, LLC
Authorized official JESS JUDY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2006
Last updated 01/02/2013 - About 13 years ago
Identifiers
WY License # 6909A
WY Medicaid 119703700
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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