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SUBLETTE COUNTY RURAL HEALTH CARE DISTRICT NPI 1609827435


NPI Information

NPI: 1609827435
Provider Name: SUBLETTE COUNTY RURAL HEALTH CARE DISTRICT

Doing Business As: MARBLETON-BIG PINEY CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 53D2253178

Address:
103 W 3RD STREET
MARBLETON, WY
ZIP 83113
Phone: (307) 276-3306
Get Directions

SUBLETTE COUNTY RURAL HEALTH CARE DISTRICT is a family medicine in Marbleton, WY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SUBLETTE COUNTY RURAL HEALTH CARE DISTRICT NPI is 1609827435. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Marbleton-big Piney Clinic.

The provider's business location address is:

103 W 3RD STREET
MARBLETON, WY
ZIP 83113
Phone: (307) 276-3306
Fax: (307) 276-3024

The provider's authorized official is Lorraine Diane Gatzke .
The authorized official title is Cfo and has the following contact phone number (307) 276-4451.

The CLIA number assigned to this NPI record is 53D2253178 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 2/10/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1W20339MEDICARE PINWYOMING
2121421700MEDICAIDWYOMING
320339MEDICARE PINWYOMING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.