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ARROWHEAD FAMILY MEDICINE
NPI 1235503459
Family Medicine in Evanston, WY

Active since November 26, 2015CLIA 53D2151458 · Waiver
195 FEATHER WAY STE 100, EVANSTON, WY 82930(307) 200-9200(307) 200-4808 Get Directions Write a Review

NPPES record last updated: March 3, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 3, 2020, Jan 28, 2020, Jan 9, 2019 and 1 more (4 updates tracked since 2015).

About Arrowhead Family Medicine NPPES

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

ARROWHEAD FAMILY MEDICINE (NPI 1235503459) is a healthcare organization registered as a family medicine in Evanston, Wyoming and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through July 18, 2028 and lists Karl E Sundberg, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235503459
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH LINCOLN HOSPITAL DISTRICT
Location Address195 FEATHER WAY STE 100Evanston, WY 82930-9352
Mailing Address195 Feather Way Ste 100Evanston, WY 82930-9352 · (307) 200-9200 · Fax (307) 200-4808
Phone(307) 200-9200
Fax(307) 200-4808
Organization SubpartNo
Authorized OfficialKarl E SundbergCeo · (307) 877-4401
Enumeration DateNovember 26, 2015
Last NPPES UpdateMarch 3, 20204 updates tracked since enumeration
NPPES CertifiedMarch 3, 2020
✔ NPI 1235503459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WY · 10314A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedClinic/CenterTaxonomy 261Q00000X
195 FEATHER WAY STE 100, Evanston, WY 82930
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Other Names 1

Doing Business AsArrowhead Family Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 53D2151458

Arrowhead Family Medicine, LLC · Evanston, WY
Active · expires Jul 18, 2028
CLIA Number53D2151458
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 19, 2026
Certificate Expiration DateJuly 18, 2028
Laboratory DirectorJade Steffen
Laboratory Phone(307) 877-4401
Laboratory LocationArrowhead Family Medicine, LLC195 Feather Way, Evanston, WY 82930
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.

TAMARA SUE BACH FNP-BC
Clinical Nurse Specialist (Family Health)
195 FEATHER WAY STE 100
EVANSTON, WY 82930
Uinta County (307) 200-9200

Frequently Asked Questions

What is SOUTH LINCOLN HOSPITAL DISTRICT's NPI number?

The NPI number assigned to this healthcare provider is 1235503459, enumerated as an "organization" on November 26, 2015.

Where is the provider located?

The provider is located at 195 FEATHER WAY STE 100 EVANSTON, WY 82930 and the phone number is (307) 200-9200.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.