Active NPI
Stgi Health, LLC
- Primary Care Clinic/Center
- Yellowstone National Park, WY
National Provider Identifier
1952285181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- STGI HEALTH, LLC
- Doing business as
- Old Faithful
- Practice address
- 2126 Opal Ave
Yellowstone National Park, WY 82190 - Phone
- (307) 344-4965
- NPI assigned
- Aug 1, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Suzanne Suzanne Kang
- Title
- Project Manager
- Phone
- (703) 578-6030
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
2126 Opal Ave
Yellowstone National Park, WY 82190
Mailing address
2900 S Quincy St Ste 888
Arlington, VA 22206-2233
Other names 1
- Old Faithful
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 53D2274102 | Old Faithful Clinic | Certificate of waiver | Dec 26, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Lake Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Yellowstone National Park, WY
- NPI 1548144769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1754006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1754006400000",
"number": "1952285181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 S QUINCY ST STE 888",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222062233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2126 OPAL AVE",
"city": "YELLOWSTONE NATIONAL PARK",
"state": "WY",
"postal_code": "82190",
"telephone_number": "307-344-4965"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STGI HEALTH, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-08-01",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A",
"authorized_official_last_name": "KANG",
"authorized_official_first_name": "SUZANNE",
"authorized_official_middle_name": "SUZANNE",
"authorized_official_title_or_position": "PROJECT MANAGER",
"authorized_official_telephone_number": "703-578-6030"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Old Faithful",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Yellowstone National Park, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.