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Contact Information

ROCKY MOUNTAIN VEIN CLINIC, P.C.
125 W YELLOWSTONE AVE
CODY, WY82414-8723
 Phone: 307-527-7129
 Fax: 307-587-7394
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for ROCKY MOUNTAIN VEIN CLINIC, P.C.

NPI # 1326089137
LBN Legal business name ROCKY MOUNTAIN VEIN CLINIC, P.C.
Authorized official JAMES JOHNSON - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 06/10/2006
Last updated 10/01/2020 - About 6 years ago
Identifiers
WY License # 6172A
WY Medicaid 123009300
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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