BRIDGER VALLEY URGENT CARE, LLC (NPI# 1952729857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952729857 |
| Entity Type | Organization |
| Organization Name | BRIDGER VALLEY URGENT CARE, LLC |
| Practice Address |
3580 State Highway 414 Lyman WY 82937 |
| Mailing Address |
740 S. Woodruff Ave. Idaho Falls ID 83401-5543 |
| Practice Telephone | 2085429111 |
| Practice Fax Number | 2085429114 |
| Mailing Telephone | 2085429111 |
| Mailing Fax Number | 2085429114 |
| Enumeration Date | 2014-03-29 |
| Last Update Date | 2014-03-29 |
| Authorized Official Name | DR. EDWIN MARLOWE GOBLE (OWNER) |
| Authorized Official Telephone | 2085429111 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2650A | WY | Allopathic & Osteopathic Physicians |
| Street Address |
3580 STATE HIGHWAY 414 |
| City | LYMAN |
| State | WY |
| Zip Code | 82937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992105696 | Kelcie Dickerson | Physician Assistant | 3580 State Highway 414, Lyman, WY 82937-0001 | 2014-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609417088 | Valley Counseling & Coaching LLC | Social Worker | 109 S. Main St. Suite D, Lyman, WY 82937 | 2019-10-07 |
| 1912462326 | South Lincoln Hospital District | Pharmacy | 2822 Wy 414, Lyman, WY 82937 | 2019-02-11 |
| 1023585775 | Autumn Spann | Behavior Technician | 210 Aspen St, Urie, WY 82937 | 2018-10-31 |
| 1821472903 | Cowboy Cares, Inc. | Home Health | 70 Meadow Street, Lyman, WY 82937 | 2015-07-17 |
| 1124442249 | Auralcare Hearing Centers of America, LLC | Clinic/Center | 106 S Main Street, 1, Lyman, WY 82937 | 2014-02-10 |
| 1760668362 | Jason R. Haycock | Chiropractor | 225 W Owen St., Lyman, WY 82937 | 2008-01-14 |
| 1205977006 | Ashby Wood Tippets | Dentist | 37 Mt. Meadow St., Suite C, Lyman, WY 82937 | 2007-02-12 |
| 1588757041 | Lynn J Clifford | Dentist | 37 Meadow St, #11, Lyman, WY 82937 | 2006-10-02 |
| 1639184096 | Randall Carter Christopherson | Physical Therapist | 109 South Main St., Suite D, Lyman, WY 82937 | 2006-07-31 |
| 1033123989 | The Drug Store Inc. | Pharmacist | 106 S. Main St., Lyman, WY 82937 | 2006-07-28 |
| Find all providers in zip 82937 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891141032 | Tobin S Dennis | Emergency Medicine | 625 East Broadway Ave, Jackson, WY 83001-8642 | 2016-05-06 |
| 1902270093 | Steven Pirtle French | Emergency Medicine | 6605 N Snake River Woods Dr, Jackson, WY 83001-8491 | 2015-11-30 |
| 1902186042 | Daniel Nmn Ratigan | Emergency Medicine | 548 N Fork Rd, Lander, WY 82520-9108 | 2011-08-21 |
| 1386806933 | Thane Michael Mains | Emergency Medicine | 2514 Park Ave, Laramie, WY 82070-4860 | 2008-06-25 |
| 1487865051 | Jeremy Herschel Newman | Emergency Medicine | 1500 Goodrich Dr, Lander, WY 82520-0009 | 2007-05-25 |
| 1255451324 | William Bolton | Emergency Medicine | 820 S 14th St, Thermopolis, WY 82443-3102 | 2007-03-30 |
| 1124129713 | Thomas Charles Laucomer | Emergency Medicine | 190 Arrowhead Drive, Evanston, WY 82930 | 2006-09-26 |
| 1588772115 | Jason Michael Bloomberg | Emergency Medicine | 3100 Henderson Dr, Suite 9, Cheyenne, WY 82001-5846 | 2006-08-25 |
| 1306860531 | Jeffrey V Rosenberg | Emergency Medicine | 109 Hospital Ln, Afton, WY 83110 | 2006-07-27 |
| 1679509475 | Ruth Anne Smrekar Tomlinson | Emergency Medicine | 557 E. Broadway, Jackson, WY 83001-1029 | 2006-06-23 |
| Find all providers with the same taxonomy | ||||
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| 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.