Organization Active NPI

Stgi Health, LLC

  • Primary Care Clinic/Center
  • Yellowstone National Park, WY
National Provider Identifier
1952285181
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
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

Updated by the provider on Aug 1, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
53D2274102Old Faithful Clinic2126 Opal Ave, Yellowstone National Park, WY 82190Certificate of waiverDec 26, 2026

National Provider Directory

National Provider Directory
Tax ID family
Lake Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.