ALLERGY & ASTHMA CLINIC OF JACKSON HOLE – NPI #1699817668
Allergy & Immunology
A physician who specializes in the diagnosis, treatment, and management of allergies.
ALLERGY & ASTHMA CLINIC OF JACKSON HOLE is an allergy & immunologist located in JACKSON, WY. NPPES has assigned the NPI number 1699817668 to ALLERGY & ASTHMA CLINIC OF JACKSON HOLE on February 13, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “ALLERGY & ASTHMA CLINIC OF JACKSON HOLE” is a dba name, the actual legal business name for this organization is JACKSON HOLE MEDICAL CLINIC, LLC. The primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy
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 ALLERGY & ASTHMA CLINIC OF JACKSON HOLE below.
NPI Profile for
JACKSON HOLE MEDICAL CLINIC, LLC
(more than 19 years ago)
JACKSON, WY 83001 Phone: (307) 739-8999 Fax:
JACKSON, WY 83002-8640 Phone: (307) 739-8999 Fax:
OWNER
Phone: (307) 739-8999
Identifiers for ALLERGY & ASTHMA CLINIC OF JACKSON HOLE
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.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | WY | 1699817668 |
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 |
|---|---|---|
| 207KA0200X - Allergy & Immunology / Allergy (Primary) |
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.