Fremont County Pediatric Clinic

LBN: Fremont County Pediatric Clinic
Fremont County Pediatric Clinic is an health care organization with primary practice located at 115 Wyoming St , Lander WY 82520-3919. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Fremont County Pediatric Clinic can be contacted via phone (307) 332-2185, or through Barnes, Richard E. via phone (307) 332-2185.

Contact Information

Primary practice address
115 Wyoming St Lander WY 82520-3919
Phone: (307) 332-2185
Fax: (307) 332-7799
Website:
Map and Directions
Authorized official contact:
Name: Barnes, Richard E. Doctor of Medicine (MD)
Phone: (307) 332-2185

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 5774A Wyoming

Profile Details

NPI number 1578664066
LBN Legal business name Fremont County Pediatric Clinic
DBA Doing business as
Authorized official Barnes, Richard E. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Apr 25th, 2013 - about 13 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 1578664066 NPPES
Wyoming MEDICAID 111666500
Wyoming Other W308732

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