URGENT CARE OF JACKSON HOLE, LLC (NPI# 1104032416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104032416 |
| Entity Type | Organization |
| Organization Name | URGENT CARE OF JACKSON HOLE, LLC |
| Practice Address |
1415 South Highway 89 Jackson WY 83001 |
| Mailing Address |
Po Box 8640 Jackson WY 83002-8640 |
| Practice Telephone | 3077398999 |
| Mailing Telephone | 3077398999 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-04-18 |
| Authorized Official Name | DR. FRANKLIN MUSSER RIVERS JR. (PRESIDENT) |
| Authorized Official Telephone | 3077398999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 5551A | WY | Allopathic & Osteopathic Physicians |
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
5551A | WY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 1104032416 | 05 |
| Street Address |
1415 SOUTH HIGHWAY 89 |
| City | JACKSON |
| State | WY |
| Zip Code | 83001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006108 | Anne Kathleen Milburn | Physical Therapist | 3620 S Park Drive, Jackson, WY 83001 | 2020-09-03 |
| 1568009637 | Katherine Pringle Ford | Case Manager/Care Coordinator | 2065 E. Limber Pine Road, Jackson, WY 83001 | 2019-12-07 |
| 1043878408 | Cossette Burnham | Physical Therapist | Four Pines Physical Therapy, 1090 S Hwy 89, Jackson, WY 83001 | 2019-05-31 |
| 1982169371 | Cynthia Buck Huyffer | Social Worker | 755a Cache Creek Drive, Jackson, WY 83001 | 2019-02-10 |
| 1093281594 | Lara Cilo | Speech-Language Pathologist | 1300 W. Valley Springs Road, Jackson, WY 83001 | 2018-10-23 |
| 1740776202 | Teton Oral and Maxillofacial Surgery | Dentist | 1160 Alpine Ln Ste 1d, Jackson, WY 83001 | 2018-07-09 |
| 1437642055 | Anna Yanchek | Physical Therapist | 1090 Us- 89, Jackson Hole, WY 83001 | 2018-06-08 |
| 1891200762 | Tyler Ross Wright | Chiropractor | 1325 Us-89, Suite 108, Jackson, WY 83001 | 2017-12-13 |
| 1073027280 | Root To Rise Counseling and Consulting, Pllc | Social Worker | 2033 Dandelion Court, Jackson, WY 83001 | 2017-11-27 |
| 1962923912 | Piper Worthington | Social Worker | 1910 High School Rd, Jackson, WY 83001 | 2017-06-29 |
| Find all providers in zip 83001 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316420888 | Hunter Asset Holding LLC | Clinic/Center | 350 W Woodrow Wilson Ave Ste 311b, Jackson, MS 39213-7682 | 2018-09-11 |
| 1356882039 | Thomas Alan Bowhay | Clinic/Center | 820 Highway 88, Jackson, CA 95642 | 2017-03-15 |
| 1255836763 | W A Foote Memorial Hospital Inc | Clinic/Center | 1401 W North St, Jackson, MI 49202-3135 | 2018-03-27 |
| 1699149773 | Hope Urgent Care Jackson | Clinic/Center | 200 Summit Ave, Jackson, MI 49201-2464 | 2015-11-30 |
| 1598040628 | Jackson Urgent Care | Clinic/Center | 731 E Main St, Jackson, OH 45640-2100 | 2011-10-20 |
| 1083884126 | Wa Foote Memorial Hospital, Inc | Clinic/Center | 205 N East Ave, Jackson, MI 49201-1753 | 2008-03-05 |
| 1891965943 | Wa Foote Memorial Hospital, Inc | Clinic/Center | 205 N East Ave, Jackson, MI 49201-1753 | 2008-03-05 |
| 1457538324 | Adena Health System | Clinic/Center | 1000 Veterans Dr, Jackson, OH 45640-9586 | 2008-01-23 |
| 1356556518 | Brent Blue Md | Clinic/Center | 982 W Broadway, Jackson, WY 83001 | 2007-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124662879 | Buffalo Urgent Care Inc | Clinic/Center | 496 Fort St, Buffalo, WY 82834-1806 | 2019-11-05 |
| 1851894810 | Great Plains Telehealth | Clinic/Center | 3901 S College Park Ct, Gillette, WY 82718-9441 | 2018-03-15 |
| 1275070708 | Sugar Land Walk-in Clinic | Clinic/Center | 1005 Sugarland Dr, Sheridan, WY 82801 | 2017-01-23 |
| 1609118686 | Dennis Goldberg | Clinic/Center | 1254 Lane 8, Powell, WY 82435-9303 | 2013-03-18 |
| 1053493403 | Medcor of Barrington, PC | Clinic/Center | 1 Old Faithful Hot Springs, Yellowstone Nat'l Park, WY 82190 | 2006-10-19 |
| 1467939918 | South Lincoln Hospital District | Clinic/Center | 711 Onyx St, Kemmerer, WY 83101-3214 | 2018-07-26 |
| 1174983118 | Grand Avenue Urgent Care, LLC | Clinic/Center | 3236 E Grand Ave Ste D, Laramie, WY 82070-5100 | 2016-03-03 |
| 1578824801 | Cheyenne Regional Urgent Care, LLC | Clinic/Center | 433 E 19th St, Cheyenne, WY 82001-4643 | 2012-06-04 |
| 1437416443 | Frontier Medical Providers | Clinic/Center | 433 E 19th St, Cheyenne, WY 82001-4643 | 2012-04-15 |
| 1457651663 | Americas Express Urgent Care, LLC | Clinic/Center | 7124 Commons Dr, Suite C, Cheyenne, WY 82009-2620 | 2010-10-22 |
| 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.