National Provider Identifier Database

INDIAN CREEK HEALTH SYSTEM LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

INDIAN CREEK HEALTH SYSTEM LLC
10717C HIGHWAY 230
RIVERSIDE, WY82325
Phone: 307-723-2371
Fax: 715-819-1045
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for INDIAN CREEK HEALTH SYSTEM LLC

NPI Number 1467925545
Legal business name
LBN
INDIAN CREEK HEALTH SYSTEM LLC
Authorized official VINCENT HINSHAW - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/10/2019
Last updated 01/10/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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