Worland Surgery Clinic

LBN: Gerald E Weaver Md Pc
Worland Surgery Clinic is an health care organization with primary practice located at 1511 Charles Ave , Worland WY 82401-4122. The organization recently has only one registered license in Managed Care Organizations / Exclusive Provider Organization, which is considered as the primary health care specialty. Gerald E Weaver Md Pc can be contacted via phone (307) 347-2405, or through Weaver, Gerald E via phone (307) 347-2405.

Contact Information

Primary practice address
1511 Charles Ave Worland WY 82401-4122
Phone: (307) 347-2405
Fax: (307) 347-3166
Website:
Map and Directions
Authorized official contact:
Name: Weaver, Gerald E Doctor of Medicine (MD)
Phone: (307) 347-2405

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Exclusive Provider Organization 302F00000X 5731A Wyoming

Profile Details

NPI number 1710214036
LBN Legal business name Gerald E Weaver Md Pc
DBA Doing business as Worland Surgery Clinic
Authorized official Weaver, Gerald E Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 6th, 2009
Last updated Nov 6th, 2009 - 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 1710214036 NPPES
Wyoming MEDICAID 114723400

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