URGENT CARE OF JACKSON HOLE, LLC – NPI #1104032416
Clinic/Center

URGENT CARE OF JACKSON HOLE, LLC is an AHC clinic located in JACKSON, WY. NPPES has assigned the NPI number 1104032416 to URGENT CARE OF JACKSON HOLE, LLC on May 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 18 years ago on Apr 18, 2008. 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 URGENT CARE OF JACKSON HOLE, LLC below.

NPI Profile for
URGENT CARE OF JACKSON HOLE, LLC

NPI Number
1104032416
Enumeration Date

(more than 19 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
URGENT CARE OF JACKSON HOLE, LLC
Primary location
1415 SOUTH HIGHWAY 89
JACKSON, WY 83001
Phone: (307) 739-8999 Fax:
Mailing address
PO BOX 8640
JACKSON, WY 83002-8640
Phone: (307) 739-8999 Fax:
Organization Subpart
No
Authorized Official
FRANKLIN RIVERS
PRESIDENT
Phone: (307) 739-8999
Updated
Identifiers

Identifiers for URGENT CARE OF JACKSON HOLE, LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWY1104032416
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
261QU0200X
- Clinic/Center / Urgent Care (Primary)		 WY 5551A
207Q00000X
- Family Medicine		 WY 5551A

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.