Bear River Surgical Clinic Inc

LBN: Bear River Surgical Clinic Inc
Bear River Surgical Clinic Inc is an health care organization with primary practice located at 196 Arrowhead Dr Suite #8, Evanston WY 82930-8752. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as the primary health care specialty. Bear River Surgical Clinic Inc can be contacted via phone (307) 789-1390, or through Oconnor, Michael J via phone (307) 798-1390.

Contact Information

Primary practice address
196 Arrowhead Dr Suite #8 Evanston WY 82930-8752
Phone: (307) 789-1390
Fax: (307) 789-1391
Website:
Map and Directions
Authorized official contact:
Name: Oconnor, Michael J Doctor of Medicine (MD)
Phone: (307) 798-1390

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X

Profile Details

NPI number 1447217377
LBN Legal business name Bear River Surgical Clinic Inc
DBA Doing business as
Authorized official Oconnor, Michael J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 26th, 2006
Last updated Apr 25th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447217377 NPPES
Wyoming MEDICAID 100588000

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