Allergy & Asthma Clinic Of Jackson Hole

LBN: Jackson Hole Medical Clinic, Llc
Allergy & Asthma Clinic Of Jackson Hole is an health care organization with primary practice located at 1415 S. Highway 89 , Jackson WY 83001. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as the primary health care specialty. Jackson Hole Medical Clinic, Llc can be contacted via phone (307) 739-8999, or through Rivers, Franklin via phone (307) 739-8999.

Contact Information

Primary practice address
1415 S. Highway 89 Jackson WY 83001
Phone: (307) 739-8999
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rivers, Franklin Doctor of Medicine (MD)
Phone: (307) 739-8999

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 5551A Wyoming

Profile Details

NPI number 1699817668
LBN Legal business name Jackson Hole Medical Clinic, Llc
DBA Doing business as Allergy & Asthma Clinic Of Jackson Hole
Authorized official Rivers, Franklin Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Apr 18th, 2008 - about 16 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 1699817668 NPPES
Wyoming MEDICAID 1699817668

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