Organization
INDIAN CREEK HEALTH SYSTEM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT HINSHAW DO (OWNER)
(307) 723-2371
Entity
Organization
Contact information
Practice address
10717C HIGHWAY 230, RIVERSIDE, WY 82325
(307) 723-2371
(715) 819-1045
Mailing address
10717C HIGHWAY 230, RIVERSIDE, WY 82325
(307) 723-2371
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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