Rawlins Family Medical, PC
Organization Active NPI Family Medicine Physician · Rawlins, WY
NPI 1023038510 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1023038510
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- RAWLINS FAMILY MEDICAL, PC
- Practice address
- 606 23Rd St
Rawlins, WY 82301-5127 - Phone
- (307) 324-6002
- NPI assigned
- Jul 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Jill Couch
- Title
- Office Manager
- Phone
- (307) 324-6002
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
606 23Rd St
Rawlins, WY 82301-5127
Mailing address
606 23Rd St
Rawlins, WY 82301-5127
Phone (307) 324-6002
NPI Registry JSON
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023038510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 23RD ST",
"city": "RAWLINS",
"state": "WY",
"postal_code": "823015127",
"telephone_number": "307-324-6002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "606 23RD ST",
"city": "RAWLINS",
"state": "WY",
"postal_code": "823015127",
"telephone_number": "307-324-6002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RAWLINS FAMILY MEDICAL, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COUCH",
"authorized_official_first_name": "JILL",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "307-324-6002"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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All providers in Rawlins, WY · Family Medicine Physician in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.