Pinedale Medical Clinic – Family Medicine Physician, NPI 1194776930

Pinedale Medical Clinic is a healthcare provider. based in Big piney, Wyoming. specializing in Family Medicine Physician. The NPI Number for Pinedale Medical Clinic is 1194776930

Main info

Organization
Inactive
Name
Pinedale Medical Clinic
NPI
1194776930
Phone
(307) 276-4451
Address
PO BOX 787
Deactivation Date
14 August 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness80
Years active:0State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Pinedale Medical Clinic

  • PO BOX 787

    BIG PINEY, WY 831130787

    Phone: (307) 276-4451

    Fax: (307) 276-4447

    Type: Mailing

  • East Hennick Street, Pinedale, Sublette County, Wyoming, 82941, United States

    PINEDALE, WY 82941

    Phone: (307) 367-4133

    Fax: (307) 367-6636

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 83113)

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Reviews

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Frequently asked questions

What unique ID ties claims to Pinedale Medical Clinic?
NPI 1194776930 is assigned to Pinedale Medical Clinic under the national enumeration system.
How do I interpret inactive records for Pinedale Medical Clinic?
Treat inactive as a signal to verify Pinedale Medical Clinic through official channels.
Does Pinedale Medical Clinic list a primary specialty?
If you are matching referrals, note Family Medicine Physician for Pinedale Medical Clinic. Clinical services aligned with this taxonomy classification.
Does Pinedale Medical Clinic practice in Wyoming?
You will see Big Piney, Wyoming on file for Pinedale Medical Clinic alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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