Organization · Type 2 NPI
Urgent Care of Jackson Hole, LLC
Urgent Care Clinic/Center · Jackson, WY
NPI number
1104032416
Active
Practice location
1415 South Highway 89
Jackson, WY 83001
Mailing address
PO Box 8640
Jackson, WY 83002-8640
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | 5551A (WY) |
| Urgent Care Clinic/Center Primary | 261QU0200X | 5551A (WY) |
Urgent Care Clinic/Center: Definition to come...
About NPI 1104032416
Urgent Care of Jackson Hole, LLC's National Provider Identifier is 1104032416, issued on May 15, 2007. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Jackson, WY. The record was last updated on Apr 18, 2008.