Rocky Mountain Vein Clinic, P.C.

LBN: Rocky Mountain Vein Clinic, P.C.
Rocky Mountain Vein Clinic, P.C. is an health care organization with primary practice located at 125 W Yellowstone Ave , Cody WY 82414-8723. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as the primary health care specialty. Rocky Mountain Vein Clinic, P.C. can be contacted via phone (307) 527-7129, or through Johnson, James L via phone (307) 527-7129.

Contact Information

Primary practice address
125 W Yellowstone Ave Cody WY 82414-8723
Fax: (307) 587-7394
Website:
Authorized official contact:
Name: Johnson, James L Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 6172A Wyoming

Profile Details

NPI number 1326089137
LBN Legal business name Rocky Mountain Vein Clinic, P.C.
DBA Doing business as
Authorized official Johnson, James L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 10th, 2006
Last updated Oct 1st, 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 1326089137 NPPES
Wyoming MEDICAID 123009300

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