Goose Creek Family Practice, P.C.

LBN: Goose Creek Family Practice, P.C.
Goose Creek Family Practice, P.C. is an health care organization with primary practice located at 304 Coffeen Ave Suite A, Sheridan WY 82801-4803. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Goose Creek Family Practice, P.C. can be contacted via phone (307) 674-1744, or through Kawulok, Debra Ann via phone (307) 674-1744.

Contact Information

Primary practice address
304 Coffeen Ave Suite A Sheridan WY 82801-4803
Phone: (307) 674-1744
Fax: (307) 674-1752
Website:
Map and Directions
Authorized official contact:
Name: Kawulok, Debra Ann FNP-C
Phone: (307) 674-1744

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 11988.1019 Wyoming

Profile Details

NPI number 1134407356
LBN Legal business name Goose Creek Family Practice, P.C.
DBA Doing business as
Authorized official Kawulok, Debra Ann FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2011
Last updated Nov 9th, 2012 - about 12 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 1134407356 NPPES
Other 1013242502 NPI #

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