| NPI | 1982475307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH VANCE Executive Director 307-367-7647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 163W00000X Registered Nurse |
| 251E00000X Home Health | |
| 261QR1300X Clinic/Center, Rural Health | |
| 347B00000X Bus | |
| Enumeration Date | 2024-01-15 |
| Last Update Date | 2024-02-17 |