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Contact Information

BIG HORN FOOT CLINIC PC
777 AVENUE H
POWELL, WY82435-2260
 Phone: 307-754-9191
 Fax: 307-954-1291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for BIG HORN FOOT CLINIC PC

NPI Number 1245365154
LBN Legal business name BIG HORN FOOT CLINIC PC
Authorized official LAEL BEACHLER - (PODIATRIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/22/2007
Last updated 09/16/2014 - About 12 years ago
Identifiers
WY License # 139
WY Medicaid 113976200
WY Medicaid 133719000
Other 1922241181 DR. BEACHLER'S NPI
WY Other 307844 BLUE CROSS BLUE SHIELD #
WY Other 1114923463 NPI# D. HUGH FRASER DPM
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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