NPIMap

Organization Active NPI

Eden Valley Telehealth Services

Doing business as Big Sandy Clinic

  • Legal Medicine
  • Farson, WY
National Provider Identifier
1992043327
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
EDEN VALLEY TELEHEALTH SERVICES
Doing business as
Big Sandy Clinic
Practice address
5 Hwy 28
Farson, WY 82932
Phone
(307) 273-3055
NPI assigned
Jan 18, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Cynthia L. Diodati
Title
Clinic Manager
Phone
(307) 273-3055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X WY Primary

Addresses

Primary practice location

5 Hwy 28
Farson, WY 82932

Mailing address

PO Box 359
Farson, WY 82932-0359
Phone (307) 273-3055

Other names 1

  • Big Sandy Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1358467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1992043327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 359",
            "city": "FARSON",
            "state": "WY",
            "postal_code": "829320359",
            "telephone_number": "307-273-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 HWY 28",
            "city": "FARSON",
            "state": "WY",
            "postal_code": "82932",
            "telephone_number": "307-273-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN VALLEY TELEHEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DIODATI",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "307-273-3055",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "WY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Big Sandy Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farson, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.