| NPI | 1164950036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACH MILLER CEO 307-534-7054 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 282NC0060X General Acute Care Hospital Critical Access |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2023-07-28 |