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BIG HORN BASIN CHILDREN'S CLINIC, PC
NPI 1013467851
Pediatrics in Cody, WY

Active since October 05, 2016CLIA 53D0682739 · Waiver
1220 SUNSHINE AVE, SUITE 101, CODY, WY 82414(307) 587-5545 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Big Horn Basin Children's Clinic, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIG HORN BASIN CHILDREN'S CLINIC, PC (NPI 1013467851) is a healthcare organization registered as a pediatrics in Cody, Wyoming and active in the NPI registry since October 2016. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Robert Neil Treece, Owner, as its authorized official.

NPPES Registry Identity

NPI1013467851
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBIG HORN BASIN CHILDREN'S CLINIC, PC
Location Address1220 SUNSHINE AVE, SUITE 101Cody, WY 82414-4234
Mailing Address1220 Sunshine Ave, Suite 101Cody, WY 82414-4234 · (307) 587-5545
Phone(307) 587-5545
Organization SubpartNo
Authorized OfficialRobert Neil TreeceOwner · (307) 587-5545
Enumeration DateOctober 5, 2016
Last NPPES UpdateFebruary 19, 2018
✔ NPI 1013467851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in WY · 10190A
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1220 SUNSHINE AVE, Cody, WY 82414
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Other Identifiers 1

Medicaid140893300WY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 53D0682739

Big Horn Basin Children's Clinic · Cody, WY
Active · expires Aug 31, 2026
CLIA Number53D0682739
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorPeter D. Sidor
Laboratory Phone(307) 587-5545
Laboratory LocationBig Horn Basin Children's Clinic1220 Sunshine Ave Suite 101, Cody, WY 82414
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. CHARLES EDWARD JAMIESON MD
Pediatrics
1220 SUNSHINE AVE, SUITE 101
CODY, WY 82414
Park County (307) 587-5545

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Big Horn Basin Children's Clinic, PC's NPI number?

The NPI number for Big Horn Basin Children's Clinic, PC is 1013467851. It was assigned to this organization in the NPPES registry on October 5, 2016.

Where is Big Horn Basin Children's Clinic, PC located?

Big Horn Basin Children's Clinic, PC is located at 1220 Sunshine Ave Suite 101, Cody, WY 82414. The listed phone number is (307) 587-5545.

What is Big Horn Basin Children's Clinic, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Big Horn Basin Children's Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D0682739) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Big Horn Basin Children's Clinic, PC was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.