# EDEN VALLEY TELEHEALTH SERVICES

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

## Provider details

- **NPI number:** 1992043327
- **Authorized official:** MS. CYNTHIA L. DIODATI (CLINIC MANAGER)
- **Authorized official phone:** (307) 273-3055

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 173000000X | Legal Medicine | — | WY | Yes |

## Other

- **Enumeration date:** 01/18/2013
- **Last updated:** 07/21/2022