Upstream Health Services, P.C.

LBN: Upstream Health Services, P.C.
Upstream Health Services, P.C. is an health care organization with primary practice located at 250 N Evarts St , Powell WY 82435-2718. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Upstream Health Services, P.C. can be contacted via phone (307) 254-0801, or through Tracy, Michael Duane via phone (307) 254-0801.

Contact Information

Primary practice address
250 N Evarts St Powell WY 82435-2718
Phone: (307) 254-0801
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tracy, Michael Duane Doctor of Medicine (MD)
Phone: (307) 254-0801

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6460A Wyoming
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6739A Wyoming
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 6739A Wyoming

Profile Details

NPI number 1255716833
LBN Legal business name Upstream Health Services, P.C.
DBA Doing business as
Authorized official Tracy, Michael Duane Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 24th, 2015
Last updated Jul 24th, 2015 - about 11 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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