MOUNTAIN TRAIL MEDICAL
NPI 1760956924
Family Medicine in Rawlins, WY

NPI Status: Active since January 21, 2019

Contact Information

542 16TH ST
RAWLINS, WY
ZIP 82301
Phone: (307) 324-2759

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Family Medicine
Accepts Insurance

About MOUNTAIN TRAIL MEDICAL

This page provides the complete NPI Profile along with additional information for Mountain Trail Medical, a primary care provider established in Rawlins, Wyoming operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1760956924 assigned on January 2019. The practitioner's primary taxonomy code is 207Q00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Marvin Wayne Couch Ii Md (President/owner)

NPI: 1760956924
Provider Name: MOUNTAIN TRAIL MEDICAL
Entity Type: Organization
Location Address: 542 16TH ST RAWLINS, WY 82301
Location Phone: (307) 324-2759
Mailing Address: 1001A E HARMONY RD # 338 FORT COLLINS, CO 80525
Mailing Phone: (307) 314-3330
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 01-21-2019
Last Update Date: 11-29-2023
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A primary care provider (PCP) like Mountain Trail Medical sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Family Medicine
Taxonomy Code: 207Q00000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Blue Cross Blue Shield of Wyoming

BlueSelect Bronze Basic - PPO
BlueSelect Bronze Core - PPO
BlueSelect Expanded Bronze Standard without Kid's Dental - PPO
BlueSelect Gold Core - PPO
BlueSelect Gold HealthPlus - PPO
BlueSelect Gold Standard without Kid's Dental - PPO
BlueSelect Silver Classic - PPO
BlueSelect Silver Classic without Kid's Dental - PPO
BlueSelect Silver HealthPlus - PPO
BlueSelect Silver HealthPlus without Kid's Dental - PPO
BlueSelect Silver Standard without Kid's Dental - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. MARVIN WAYNE COUCH II MD
Authorized Official Title: PRESIDENT/OWNER
Authorized Official Phone: (307) 320-7075

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	6	0	9	5	6	9	2	4
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	12	0	18	5	12	9	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 2 + 0 + 1 + 8 + 5 + 1 + 2 + 9 + 4 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 4									4

The NPI number 1760956924 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.