Midway Clinic
LBN: South Big Horn County Hospital District
Midway Clinic is an health care organization with primary practice located at 388 South Us Hwy 20 , Basin WY 82410-8902. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty.
South Big Horn County Hospital District can be contacted via phone (307) 568-3311, or through Jackson, Joel via phone (307) 568-1426.
Contact Information
Primary practice address
388 South Us Hwy 20
Basin WY 82410-8902
Phone: (307) 568-3311
Fax: (307) 568-2139
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ||
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 06-139 | Wyoming |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1811901515 |
|---|---|
| LBN Legal business name | South Big Horn County Hospital District |
| DBA Doing business as | Midway Clinic |
| Authorized official | Jackson, Joel |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Oct 30th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811901515 | NPPES |
| Wyoming | MEDICAID | 110012203 | |
| Wyoming | MEDICAID | 110012205 | |
| Wyoming | MEDICAID | 115069300 | |
| Wyoming | Other | BLUE CROSS |
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