Pinedale Medical Clinic
LBN: Sublette County Rural Health Care District
Pinedale Medical Clinic is an health care organization with primary practice located at 625 E Hennick , Pinedale WY 82941. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Sublette County Rural Health Care District can be contacted via phone (307) 367-4133, or through Gatzke, Lorraine Diane via phone (307) 276-4451.
Contact Information
Primary practice address
625 E Hennick
Pinedale WY 82941
Phone: (307) 367-4133
Fax: (307) 367-6636
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1194776930 |
|---|---|
| LBN Legal business name | Sublette County Rural Health Care District |
| DBA Doing business as | Pinedale Medical Clinic |
| Authorized official | Gatzke, Lorraine Diane |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | May 15th, 2006 |
| Last updated | Feb 10th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194776930 | NPPES |
| Wyoming | MEDICAID | 121421700 |
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