PLATTE VALLEY MEDICAL CLINIC PC; NPI #1831242759

Contact Information

PLATTE VALLEY MEDICAL CLINIC PC

1208 SOUTH RIVER STREET
SARATOGA, WY 82331

Phone: 307-326-8381
Fax: 307-326-5698
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 PLATTE VALLEY MEDICAL CLINIC PC

NPI Number 1831242759

LBN Legal business name PLATTE VALLEY MEDICAL CLINIC PC

Authorized official DIANE NOTON - (PHYSICIAN /OWNER)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/22/2007

Last updated 10/08/2008 - About 18 years ago

Identifiers

WY	License #	533805
WY	Medicaid	114037000

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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