Big Horn Basin Children'S Clinic, Pc

LBN: Big Horn Basin Children'S Clinic, Pc
Big Horn Basin Children'S Clinic, Pc is an health care organization with primary practice located at 1220 Sunshine Ave Suite 101, Cody WY 82414-4234. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Big Horn Basin Children'S Clinic, Pc can be contacted via phone (307) 587-5545, or through Treece, Robert Neil via phone (307) 587-5545.

Contact Information

Primary practice address
1220 Sunshine Ave Suite 101 Cody WY 82414-4234
Phone: (307) 587-5545
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Treece, Robert Neil Doctor of Medicine (MD)
Phone: (307) 587-5545

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10190A Wyoming

Profile Details

NPI number 1013467851
LBN Legal business name Big Horn Basin Children'S Clinic, Pc
DBA Doing business as
Authorized official Treece, Robert Neil Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2016
Last updated Feb 19th, 2018 - about 8 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 1013467851 NPPES
Wyoming MEDICAID 140893300

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