Cowboy Medical Group Pc

LBN: Cowboy Medical Group Pc
Cowboy Medical Group Pc is an health care organization with primary practice located at 1125 Charles Ave , Worland WY 82401-4021. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Cowboy Medical Group Pc can be contacted via phone (307) 347-2449, or through Bomengen, Wade T via phone (307) 347-2449.

Contact Information

Primary practice address
1125 Charles Ave Worland WY 82401-4021
Phone: (307) 347-2449
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bomengen, Wade T Doctor of Medicine (MD)
Phone: (307) 347-2449

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1154836617
LBN Legal business name Cowboy Medical Group Pc
DBA Doing business as
Authorized official Bomengen, Wade T Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2017
Last updated Jan 19th, 2018 - about 7 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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