Organization · Type 2 NPI

Wind River Heart Clinic LLC

Clinic/Center · Lander, WY

NPI number 1760949317 Active

Practice location

535 E Main St Ste B
Lander, WY 82520-3410

Call (307) 206-1171 Map

Fax (307) 206-1133

Mailing address

PO Box 82298
Lafayette, LA 70598-2298

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4 other providers at this address

Other clinic/center providers in Lander

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NPI record

NPI: 1760949317
Entity type: Organization (Type 2)
Issued: Mar 1, 2019
Last updated: Jan 13, 2021
Status: Active

Other names

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Wind River Heart Clinic · former legal business name
Wind River Heart Clinic · former legal business name

Authorized official

Kevin A Courville, MD
Cardiologist
(307) 206-1071

Verify this record

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About NPI 1760949317

Wind River Heart Clinic LLC's National Provider Identifier is 1760949317, issued on Mar 1, 2019. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lander, WY. The record was last updated on Jan 13, 2021.