# EDEN VALLEY TELEHEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Big Sandy Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730425471
- **Authorized official:** STEVEN TOMICH (BOARD CHAIRMAN)
- **Authorized official phone:** (307) 273-3055

## Contact information

- **Practice address:** 5 HIGHWAY 28, FARSON, WY 82932
- **Practice address phone:** (307) 273-3055
- **Practice address fax:** (307) 273-3055
- **Mailing address:** PO BOX 359, FARSON, WY 82932-0359
- **Mailing address phone:** (307) 273-3055
- **Mailing address fax:** (307) 273-3055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/28/2012
- **Last updated:** 11/13/2024