JACKSON HOLE CENTER FOR PREVENTIVE MEDICINE – NPI #1053554162
Clinic/Center

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

Health Care Provider Taxonomy Code for Clinic/Center

JACKSON HOLE CENTER FOR PREVENTIVE MEDICINE is an AHC clinic located in JACKSON, WY. NPPES has assigned the NPI number 1053554162 to JACKSON HOLE CENTER FOR PREVENTIVE MEDICINE on April 20, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “JACKSON HOLE CENTER FOR PREVENTIVE MEDICINE” is a dba name, the actual legal business name for this organization is DOUBLE RAINBOW SCIENCES, LLC. The primary taxonomy selected by this provider is 261QM2500X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Medical Specialty

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACKSON HOLE CENTER FOR PREVENTIVE MEDICINE below.

NPI Profile for
DOUBLE RAINBOW SCIENCES, LLC

NPI Number
1053554162
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DOUBLE RAINBOW SCIENCES, LLC
Doing Business As (dba): JACKSON HOLE CENTER FOR PREVENTIVE MEDICINE
Primary location
555 E. BROADWAY
SUITE 108
JACKSON, WY 83001
Phone: (307) 733-4452 Fax:
Mailing address
PO BOX 7550
JACKSON, WY 83002-7550
Phone: (307) 733-4452 Fax:
Organization Subpart
No
Authorized Official
ROBERT LANGER
MANAGING MEMBER
Phone: (307) 733-4452
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM2500X
- Clinic/Center / Medical Specialty (Primary)		 WY 7777A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.