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GRAND TETON MEDICAL CLINIC
NPI 1891997151
Clinic/Center - Urgent Care in Moran, WY

Active since May 31, 2007
INNER LOOP ROAD, JACKSON LAKE LODGE, MORAN, WY 83013(307) 543-2514(307) 543-2514 Get Directions Write a Review

NPPES record last updated: August 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Teton Medical Clinic NPPES

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

GRAND TETON MEDICAL CLINIC (NPI 1891997151) is a healthcare organization registered as an urgent care in Moran, Wyoming and active in the NPI registry since May 2007. The organization lists Brent Blue, Clinic Owner, as its authorized official.

NPPES Registry Identity

NPI1891997151
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameGRAND TETON MEDICAL CLINIC
Location AddressINNER LOOP ROAD, JACKSON LAKE LODGEMoran, WY 83013
Mailing AddressPo Box 15240Jackson, WY 83002-5240 · (307) 733-8002 · Fax (307) 733-0032
Phone(307) 543-2514
Fax(307) 543-2514
Organization SubpartNo
Authorized OfficialBrent BlueClinic Owner · (307) 733-8002
Enumeration DateMay 31, 2007
Last NPPES UpdateAugust 2, 2007
✔ NPI 1891997151 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
INNER LOOP ROAD, Moran, WY 83013
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Other Identifiers 2

Medicaid1096516-00WY
Medicare PIN4371429WY

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 Grand Teton Medical Clinic's NPI number?

The NPI number for Grand Teton Medical Clinic is 1891997151. It was assigned to this organization in the NPPES registry on May 31, 2007.

Where is Grand Teton Medical Clinic located?

Grand Teton Medical Clinic is located at Inner Loop Road Jackson Lake Lodge, Moran, WY 83013. The listed phone number is (307) 543-2514.

What is Grand Teton Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

When was this NPI record last updated?

The NPPES record for Grand Teton Medical Clinic was last updated on August 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.