INTERMOUNTAIN HEALTH CODY CLINIC
NPI 1235170705
Clinic/Center - Rural Health in Cody, WY
NPI Status: Active since June 08, 2006
Contact Information
424 YELLOWSTONE AVE STE 310
CODY, WY
ZIP 82414
Phone: (307) 578-1800
Fax: (307) 578-1814
- Organization
- Clinic/Center
- Rural Health
- Accepts Insurance
- CLIA Number: 53D0857372
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-11-2027
About INTERMOUNTAIN HEALTH CODY CLINIC
This page provides the complete NPI Profile along with additional information for Intermountain Health Cody Clinic, a primary care provider established in Cody, Wyoming operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1235170705 assigned on June 2006. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The provider's is doing business as Intermountain Health Cody Clinic. The authorized official of this NPI record is Jon Mcdaniel (Vp Of Finance)
- NPI
- 1235170705
- Provider Legal Name
- SCL HEALTH MEDICAL GROUP - BILLINGS, LLC
- Other Organization Name
- INTERMOUNTAIN HEALTH CODY CLINIC
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 424 YELLOWSTONE AVE STE 310 CODY, WY 82414
- Location Phone
- (307) 578-1800
- Location Fax
- (307) 578-1814
- Mailing Address
- 424 YELLOWSTONE AVE STE 310 CODY, WY 82414
- Mailing Phone
- (307) 578-1800
- Mailing Fax
- (307) 578-1814
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-08-2006
- Last Update Date
- 08-10-2023
- Code Navigator
A primary care provider (PCP) like Intermountain Health Cody Clinic 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
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QP2300X | Ambulatory Health Care Facilities | Clinic/Center | 13258 (MT) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- 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
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- Rocky Mountain Bronze Standard Expanded - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 53D0857372
- Facility Type
- Physician Office
- Certificate Effective Date
- June 12, 2025
- Certificate Expiration Date
- June 11, 2027
- Laboratory Director
- ANDREW C. TRUNKHILL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Intermountain Health Cody Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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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 | 2 | 3 | 5 | 1 | 7 | 0 | 7 | 0 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 2 | 7 | 0 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 2 + 7 + 0 + 7 + 0 + 24 = 55 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 55 = 5 | 5 | ||||||||
The NPI number 1235170705 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1326679432 | CODY SURGICAL ASSOCIATES LLC Organization | Otolaryngology | 424 YELLOWSTONE AVE STE 310 CODY, WY 82414 (307) 899-3733 |
| 1437371523 | MRS. BRANDI R SHEPARD CCC-A, F-AAA Individual | Audiologist | 424 YELLOWSTONE AVE STE 310 CODY, WY 82414 (307) 578-2976 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235170705, enumerated in the NPI registry as an "organization" on June 08, 2006
The provider is located at 424 Yellowstone Ave Ste 310 Cody, Wy 82414 and the phone number is (307) 578-1800
This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health
The provider might be accepting Accepts: Blue Cross Blue Shield of Wyoming and Mountain. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 53D0857372 for a "physician office" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on June 08, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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