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ALLERGY & ASTHMA CLINIC OF JACKSON HOLE
NPI 1699817668
Allergy & Immunology - Allergy in Jackson, WY

Active since February 13, 2007
1415 S. HIGHWAY 89, JACKSON, WY 83001(307) 739-8999 Get Directions Write a Review

NPPES record last updated: April 18, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Allergy & Asthma Clinic Of Jackson Hole NPPES

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

ALLERGY & ASTHMA CLINIC OF JACKSON HOLE (NPI 1699817668) is a healthcare organization registered as an allergy in Jackson, Wyoming and active in the NPI registry since February 2007. The organization lists Franklin Rivers, Owner, as its authorized official.

NPPES Registry Identity

NPI1699817668
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameJACKSON HOLE MEDICAL CLINIC, LLC
Location Address1415 S. HIGHWAY 89Jackson, WY 83001
Mailing AddressPo Box 8640Jackson, WY 83002-8640 · (307) 739-8999
Phone(307) 739-8999
Organization SubpartNo
Authorized OfficialFranklin RiversOwner · (307) 739-8999
Enumeration DateFebruary 13, 2007
Last NPPES UpdateApril 18, 2008
✔ NPI 1699817668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in WY · 5551A
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
1415 S. HIGHWAY 89, Jackson, WY 83001
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Other Names 1

Doing Business AsAllergy & Asthma Clinic Of Jackson Hole

Other Identifiers 3

Medicaid1699817668WY
Medicare UPINC21112WY
Medicare PINW308126WY

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

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 Jackson Hole Medical Clinic, LLC's NPI number?

The NPI number for Jackson Hole Medical Clinic, LLC is 1699817668. It was assigned to this organization in the NPPES registry on February 13, 2007. The provider is doing business as Allergy & Asthma Clinic Of Jackson Hole.

Where is Jackson Hole Medical Clinic, LLC located?

Jackson Hole Medical Clinic, LLC is located at 1415 S. Highway 89, Jackson, WY 83001. The listed phone number is (307) 739-8999.

What is Jackson Hole Medical Clinic, LLC's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

When was this NPI record last updated?

The NPPES record for Jackson Hole Medical Clinic, LLC was last updated on April 18, 2008. 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.