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MAMMOTH FAMILY CLINIC
NPI 1265521363
Clinic/Center - Primary Care in Mammoth, WY

Active since October 12, 2006CLIA 53D2274099 · Waiver
ONE MAMMOTH HOT SPRINGS, YELLOWSTONE NAT'L PARK, MAMMOTH, WY 82190(307) 344-7965(307) 344-7336 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mammoth Family Clinic NPPES

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

MAMMOTH FAMILY CLINIC (NPI 1265521363) is a healthcare organization registered as a primary care in Mammoth, Wyoming and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Thomas H. Glimp, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1265521363
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMEDCOR OF BARRINGTON, PC
Location AddressONE MAMMOTH HOT SPRINGS, YELLOWSTONE NAT'L PARKMammoth, WY 82190
Mailing AddressPo Box 58Yellowstone National Park, WY 82190-0058 · (307) 344-7965 · Fax (307) 344-7336
Phone(307) 344-7965
Fax(307) 344-7336
Organization SubpartNo
Authorized OfficialThomas H. GlimpMedical Director · (815) 363-9500
Enumeration DateOctober 12, 2006
Last NPPES UpdateNovember 21, 2007
✔ NPI 1265521363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
ONE MAMMOTH HOT SPRINGS, Mammoth, WY 82190
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Other Names 1

Doing Business AsMammoth Family Clinic

Other Identifiers 1

Medicare PINW9592WY

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 53D2274099

Mammoth Clinic · Yellowstone National Park, WY
Active · expires Dec 26, 2026
CLIA Number53D2274099
Laboratory TypeRural Health Clinic
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorLinda M. Haney
Laboratory Phone(307) 344-7965
Laboratory LocationMammoth Clinic108 Albright Ave, Yellowstone National Park, WY 82190
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Medcor Of Barrington, PC's NPI number?

The NPI number for Medcor Of Barrington, PC is 1265521363. It was assigned to this organization in the NPPES registry on October 12, 2006. The provider is doing business as Mammoth Family Clinic.

Where is Medcor Of Barrington, PC located?

Medcor Of Barrington, PC is located at One Mammoth Hot Springs Yellowstone Nat'l Park, Mammoth, WY 82190. The listed phone number is (307) 344-7965.

What is Medcor Of Barrington, PC's specialty?

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

Does Medcor Of Barrington, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 53D2274099) is associated with this NPI, valid through December 26, 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 Medcor Of Barrington, PC was last updated on November 21, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.