Popo Agie Women'S Clinic

LBN: Popo Agie Women'S Clinic, Inc
Popo Agie Women'S Clinic is an health care organization with primary practice located at 1460 Main St , Lander WY 82520-2657. The organization recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is the primary health care specialty. Popo Agie Women'S Clinic, Inc can be contacted via phone (307) 332-2223, or through Zebroski, Ruth C via phone (307) 332-2223.

Contact Information

Primary practice address
1460 Main St Lander WY 82520-2657
Phone: (307) 332-2223
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Zebroski, Ruth C WHNP-C
Phone: (307) 332-2223

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 9192.0137 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9192.0137 Wyoming
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 9192.0137 Wyoming

Profile Details

NPI number 1871623124
LBN Legal business name Popo Agie Women'S Clinic, Inc
DBA Doing business as Popo Agie Women'S Clinic
Authorized official Zebroski, Ruth C WHNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2007
Last updated Mar 5th, 2009 - 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 1871623124 NPPES
Wyoming MEDICAID 116652200

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