| Organization Name: | CEDAR HILLS FAMILY CLINIC, P.C. |
| NPI Number: | 1659537694 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LANNY BRUCE REIMER (PRESIDENT) |
| Mailing Address: | 717 Pine Street Upton |
| State: | WY US |
| Postal Code: | 82730 |
| Phone Number: | 3074682302 |
| Fax Number: | 3074682601 |
| NPI Enumeration Date: | 07/30/2008 |
| NPI Last Update Date: | 04/28/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |