STRONG TREE CLINIC; NPI #1750457933

Contact Information

STRONG TREE CLINIC

342 E MAIN ST
LOVELL, WY 82431-2136

Phone: 307-548-6289
Fax: 307-548-6910
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 STRONG TREE CLINIC

NPI Number 1750457933

LBN Legal business name STRONG TREE CLINIC

Authorized official JOSEPH BAUMSTARCK - (DOCTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 11/28/2006

Last updated 06/18/2008 - About 18 years ago

Identifiers

WY	License #	5460A
WY	Medicaid	114619001

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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