Emergacare

LBN: Brent Blue Md
Emergacare is an health care organization with primary practice located at 982 W Broadway , Jackson WY 83001. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Brent Blue Md can be contacted via phone (307) 733-8002, or through Blue, Brent via phone (307) 733-8002.

Contact Information

Primary practice address
982 W Broadway Jackson WY 83001
Phone: (307) 733-8002
Fax: (307) 733-0032
Website:
Map and Directions
Authorized official contact:
Name: Blue, Brent Doctor of Medicine (MD)
Phone: (307) 733-8002

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 3416A Wyoming

Profile Details

NPI number 1356556518
LBN Legal business name Brent Blue Md
DBA Doing business as Emergacare
Authorized official Blue, Brent Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2007
Last updated Jun 28th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356556518 NPPES
Wyoming Other 218545001 USDOL CLINIC NUMBER
Wyoming MEDICAID 109651600 USDOL CLINIC NUMBER

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