Healthcare Provider Details

I. General information

NPI: 1427766427
Provider Name (Legal Business Name): STGI HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2022
Last Update Date: 04/29/2024
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 ALBRIGHT AVE
YELLOWSTONE NATIONAL PARK WY
82190
US

IV. Provider business mailing address

2900 S QUINCY ST STE 888
ARLINGTON VA
22206-2233
US

V. Phone/Fax

Practice location:
  • Phone: 202-573-0954
  • Fax:
Mailing address:
  • Phone: 202-573-0954
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JEFF BELL
Title or Position: CHIEF OPERATING OFFICER
Credential:
Phone: 202-527-4145