NPI 1245308428 · live from the CMS NPI Registry
Crook County Medical Services District
Family Medicine in Sundance, WY. National Provider Identifier 1245308428, active.
NPI record
| NPI | 1245308428 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 713 Oak Street, Sundance, WY 82729 |
| Practice phone | 307-283-3501 |
| Mailing address | Po Box 517, 713 Oak Street, Sundance, WY 82729 |
| Enumerated | December 4, 2006 |
| Last updated | May 6, 2026 |
| Authorized official | Micki Lyons, Ceo |
| Other names | Sundance Clinic |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Rural Health | 261QR1300X | — |
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.