LUSK MEDICAL CLINIC; NPI #1750311072

Contact Information

LUSK MEDICAL CLINIC

119 WEST 3RD STREET
LUSK, WY 82225

Phone: 307-334-2900
Fax: 307-334-2904
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for LUSK MEDICAL CLINIC

NPI #	`1750311072`
LBN Legal business name	LUSK MEDICAL CLINIC
Authorized official	GARY OTTERSBACH - (PHYSICIAN ASSISTANT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	07/03/2006
Last updated	08/22/2020 - About 6 years ago
Identifiers	n/a

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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