institution
Goose Creek Family Practice, P.c.
Clinic/Center in Sheridan, Wyoming
NPI 1134407356

Goose Creek Family Practice, P.c. is a Clinic/Center based in Sheridan, WY. Goose Creek Family Practice, P.c. practices in Sheridan, WY. The NPI Number for Goose Creek Family Practice, P.c. is 1134407356 and holds a License No. 11988.1019 (Wyoming).

The current practice location address for Goose Creek Family Practice, P.c. is 304 Coffeen Ave, Sheridan, WY and can be reached out via phone at 307-674-1744 and via fax at 307-674-1752. You can also correspond with Goose Creek Family Practice, P.c. through the mailing address at 304 COFFEEN AVE, SHERIDAN, WY - 82801-4803 (mailing address contact number: 307-674-1744).

Location: 304 Coffeen Ave, Sheridan, WY, 82801-4803
institution
Provider Profile Details
NPI Number
1134407356
Provider Name
Goose Creek Family Practice, P.c.
Credential
Provider Entity Type
Organization
Address
304 Coffeen Ave, Sheridan, WY, 82801-4803
Phone Number
307-674-1744
Fax Number
307-674-1752
Provider Enumeration Date
07/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013242502 01 NPI #
institution
Provider Business Practice Location Address Details
Address
304 Coffeen Ave
City
State
Zip
82801-4803
Phone Number
307-674-1744
Fax Number
307-674-1752
person
Provider Business Mailing Address Details
Address
304 Coffeen Ave
City
State
Zip
82801-4803
Phone Number
307-674-1744
Fax Number
307-674-1752
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
11988.1019 (Wyoming)
Definition
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).
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