INDIAN CREEK HEALTH SYSTEM LLC


Address: 10717c Highway 230, Riverside, WY 82325
Phone: 3077232371

INDIAN CREEK HEALTH SYSTEM LLC (NPI# 1467925545) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467925545
Entity Type Organization
Organization Name INDIAN CREEK HEALTH SYSTEM LLC
Practice Address 10717c Highway 230
Riverside
WY 82325
Practice Telephone 3077232371
Practice Fax Number 7158191045
Mailing Telephone 3077232371
Enumeration Date 2019-01-10
Last Update Date 2019-01-10
Authorized Official Name DR. VINCENT HINSHAW (OWNER)
Authorized Official Telephone 3077232371
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM2500X Clinic/Center
Specialization: Medical Specialty
Ambulatory Health Care Facilities

Office Location

Street Address 10717C HIGHWAY 230
City RIVERSIDE
State WY
Zip Code 82325

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134626229 Jean Lewis Consulting LLC Counselor #5 Indian Hills Estates, Encampment, WY 82325-0163 2018-04-06
1285950964 M. Jean Lewis Counselor 5 Indian Hills Estates Blackhall Mt Road, Encampment, WY 82325-0163 2010-04-20

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Taxonomy Information

Taxonomy Code 261QM2500X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Medical Specialty

Taxonomy Definition

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).
Notes: [7/1/2003: new]

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1710460878 Riverside Eye Partners A Professional Medical Corporation Clinic/Center 6377 Riverside Ave Ste 170, Riverside, CA 92506-3155 2018-09-13
1659744175 Ucr Health- Plastic & Reconstructive Surgery Clinic/Center 10694 Magnolia Ave, Riverside, CA 92505-1816 2015-11-05
1841534302 Hubert C. Watkins, M.d., Inc. Clinic/Center 6926 Brockton Ave, Suite 10, Riverside, CA 92506-3800 2012-11-21
1285992198 Central Medical Group Clinic/Center 4100 Central Ave, Riverside, CA 92506-2933 2012-04-27
1639363344 Brian P Igoe Md,sc Clinic/Center 347 E Burlington St, Riverside, IL 60546-2149 2007-09-05
1992850150 Helena Mba Md Inc. Clinic/Center 6485 Day St, Suite #203, Riverside, CA 92507-0929 2007-01-25

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1205386281 Pediatric Associates of Wyoming Clinic/Center 4605 N College Dr, Cheyenne, WY 82009-5455 2016-10-13
1316120991 Nephrology Clinic PC Clinic/Center 3116 Willet Dr, Laramie, WY 82072 2007-12-06
1578181467 American Thyroid Institute LLC Clinic/Center 30 N Gould St Ste R, Sheridan, WY 82801-6317 2020-07-08
1194044750 Teton Dermatology Inc Clinic/Center 984 West Broadway, Suite 4, Jackson, WY 83001-0000 2010-05-21
1053554162 Double Rainbow Sciences, LLC Clinic/Center 555 E. Broadway, Suite 108, Jackson, WY 83001 2009-04-20
1871741322 Huxford Chiropractic Clinic Clinic/Center 706 Elk St, Rock Springs, WY 82901-5247 2008-09-08
1841452000 Abc Pediatrics LLC Clinic/Center 1300 W 4th St, Gillette, WY 82716-3339 2008-06-30
1760650980 Richardson Family Health Center, P.C. Clinic/Center 430 Broadway St, Rock Springs, WY 82901-6269 2008-02-11
1093998098 Thomas E Spicer, Md-pc Clinic/Center 1208 Hilltop Dr, Suite 103, Rock Springs, WY 82901-5857 2007-12-12
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Competitor

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City RIVERSIDE
Zip Code 82325

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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