Sage Medical Group Llc

LBN: Sage Medical Group Llc
Sage Medical Group Llc is an health care organization with primary practice located at 419 S Washington St Ste 200, Casper WY 82601. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Sage Medical Group Llc can be contacted via phone (307) 265-8300, or through Cooper, Sara via phone (307) 265-8300.

Contact Information

Primary practice address
419 S Washington St Ste 200 Casper WY 82601
Phone: (307) 265-8300
Fax: (307) 265-8313
Website:
Map and Directions
Authorized official contact:
Name: Cooper, Sara
Phone: (307) 265-8300

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1700854346
LBN Legal business name Sage Medical Group Llc
DBA Doing business as
Authorized official Cooper, Sara
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2006
Last updated Oct 11th, 2007 - about 19 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 1700854346 NPPES
Wyoming MEDICAID 1221190600

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