Goose Creek Pediatrics Pc

LBN: Goose Creek Pediatrics Pc
Goose Creek Pediatrics Pc is an health care organization with primary practice located at 1701 W 5Th St Ste A, Sheridan WY 82801-2748. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Goose Creek Pediatrics Pc can be contacted via phone (307) 672-7700, or through Bowers, Mary I via phone (307) 672-7700.

Contact Information

Primary practice address
1701 W 5Th St Ste A Sheridan WY 82801-2748
Phone: (307) 672-7700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bowers, Mary I Doctor of Medicine (MD)
Phone: (307) 672-7700

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1407892300
LBN Legal business name Goose Creek Pediatrics Pc
DBA Doing business as
Authorized official Bowers, Mary I Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 22nd, 2020 - about 6 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 1407892300 NPPES
Wyoming Other 8820875 MONTANA MEDICAID

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