Healthcare Provider Details

I. General information

NPI: 1982475307
Provider Name (Legal Business Name): VERTICAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/15/2024
Last Update Date: 02/17/2024
Certification Date: 02/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

307 SNOWMOBILE LN
PINEDALE WY
82941-8900
US

IV. Provider business mailing address

PO BOX 550
DANIEL WY
83115-0550
US

V. Phone/Fax

Practice location:
  • Phone: 307-223-0303
  • Fax: 307-367-7647
Mailing address:
  • Phone: 307-223-0303
  • Fax: 307-367-7647

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code347B00000X
TaxonomyBus
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number StateNULL
# 5
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: REBEKAH VANCE
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 307-367-7647