| Organization Name: | UINTA URGENT CARE |
| NPI Number: | 1023177375 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY ANNE BEGALLA (PRESIDENT) |
| Mailing Address: | 75 Yellow Creek Rd Suite 202 Evanston |
| State: | WY US |
| Postal Code: | 82930 |
| Phone Number: | 3077896111 |
| Fax Number: | |
| NPI Enumeration Date: | 12/06/2006 |
| NPI Last Update Date: | 07/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 19196.0204 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |