FREMONT COUNTY PEDIATRIC CLINIC – NPI #1578664066
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

FREMONT COUNTY PEDIATRIC CLINIC is a provider located in LANDER, WY. NPPES has assigned the NPI number 1578664066 to FREMONT COUNTY PEDIATRIC CLINIC on September 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 13 years ago on Apr 25, 2013. 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 FREMONT COUNTY PEDIATRIC CLINIC below.

NPI Profile for
FREMONT COUNTY PEDIATRIC CLINIC

NPI Number
1578664066
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
FREMONT COUNTY PEDIATRIC CLINIC
Primary location
115 WYOMING ST
LANDER, WY 82520-3919
Phone: (307) 332-2185 Fax: (307) 332-7799
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RICHARD BARNES
OWNER
Phone: (307) 332-2185
Updated
Identifiers

Identifiers for FREMONT COUNTY PEDIATRIC CLINIC

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
OTHERMEDICARE PTANWYW308732
MEDICAIDWY111666500
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
208000000X
- Pediatrics (Primary)
WY 5774A

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.