NPIMap

Organization Active NPI

Wind River Heart Clinic LLC

  • Clinic/Center
  • Lander, WY
National Provider Identifier
1760949317
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WIND RIVER HEART CLINIC LLC
Practice address
535 E Main St Ste B
Lander, WY 82520-3410
Phone
(307) 206-1171
Fax
(307) 206-1133
NPI assigned
Mar 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kevin A Courville, MD
Title
Cardiologist
Phone
(307) 206-1071

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

535 E Main St Ste B
Lander, WY 82520-3410

Mailing address

PO Box 82298
Lafayette, LA 70598-2298
Phone (337) 288-4895

Other names 1

  • Wind River Heart Clinic Former legal business name

National Provider Directory

National Provider Directory

Locations

150 Chase Dr
Ste A
Lander, WY 82520
Phone (307) 206-1071

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22559/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1760949317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 82298",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705982298",
            "telephone_number": "337-288-4895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 E MAIN ST STE B",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203410",
            "telephone_number": "307-206-1171",
            "fax_number": "307-206-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WIND RIVER HEART CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-01",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "COURVILLE",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "307-206-1071",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wind River Heart Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Wind River Heart Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lander, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.