1. Home
  2. Directory
  3. Wyoming
  4. Evanston
  5. Clinic Center
  6. NPI Profile

MOUNTAIN MEDICINE LLC
NPI 1134744600
Clinic/Center - Primary Care in Evanston, WY

Active since June 10, 2020
170 ARROWHEAD DR, EVANSTON, WY 82930(307) 267-2116 Get Directions Write a Review

NPPES record last updated: October 6, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2020, Jun 10, 2020 (2 updates tracked since 2020).

About Mountain Medicine Llc NPPES

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

MOUNTAIN MEDICINE LLC (NPI 1134744600) is a healthcare organization registered as a primary care in Evanston, Wyoming and active in the NPI registry since June 2020. The organization lists Chet Ruger, Administrator, as its authorized official.

NPPES Registry Identity

NPI1134744600
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMOUNTAIN MEDICINE LLC
Location Address170 ARROWHEAD DREvanston, WY 82930-9307
Mailing Address170 Arrowhead DrEvanston, WY 82930-9307 · (307) 209-2220
Phone(307) 267-2116
Organization SubpartNo
Authorized OfficialChet RugerAdministrator · (307) 209-2220
Enumeration DateJune 10, 2020
Last NPPES UpdateOctober 6, 20202 updates tracked since enumeration
NPPES CertifiedOctober 6, 2020
✔ NPI 1134744600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
170 ARROWHEAD DR, Evanston, WY 82930
Open in Google Maps ↗

Other Providers at the Same Location NPPES 3

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

D MCKAY FRANCOM DDS
Dentist (General Practice)
170 ARROWHEAD DR, SUITE 1
EVANSTON, WY 82930
Uinta County (307) 789-8910
PAIN CARE CENTER LLC
Anesthesiology (Pain Medicine)
170 ARROWHEAD DR, SUITE 2
EVANSTON, WY 82930
Uinta County (307) 212-6270
KIMBERLY S LARSON N.P.
Nurse Practitioner (Family)
170 ARROWHEAD DR
EVANSTON, WY 82930
Uinta County (307) 789-0096

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 Mountain Medicine LLC's NPI number?

The NPI number for Mountain Medicine LLC is 1134744600. It was assigned to this organization in the NPPES registry on June 10, 2020.

Where is Mountain Medicine LLC located?

Mountain Medicine LLC is located at 170 Arrowhead Dr, Evanston, WY 82930. The listed phone number is (307) 267-2116.

What is Mountain Medicine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Mountain Medicine LLC was last updated on October 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.