Organization · Type 2 NPI

Indian Creek Health System LLC

Medical Specialty Clinic/Center · Riverside, WY

NPI number 1467925545 Active

Practice location

10717C Highway 230
Riverside, WY 82325

Fax (715) 819-1045

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XNone listed

Medical Specialty 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).

About NPI 1467925545

Indian Creek Health System LLC's National Provider Identifier is 1467925545, issued on Jan 10, 2019. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Riverside, WY. The record was last updated on Jan 10, 2019.