| NPI | 1003413212 |
|---|---|
| Doing Business As | LARAMIE PEAK RURAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES M CUSSINS CFO 307-358-2122 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-07 |