Provider Demographics
NPI:1477789790
Name:BARTHOLOMEW FAMILY MEDICINE, PC
Entity Type:Organization
Organization Name:BARTHOLOMEW FAMILY MEDICINE, PC
Other - Org Name:PLATTE VALLEY MEDICAL CLINIC, PC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:W
Authorized Official - Last Name:BARTHOLOMEW
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:307-326-8381
Mailing Address - Street 1:PO BOX 648
Mailing Address - Street 2:1208 S. RIVER ST
Mailing Address - City:SARATOGA
Mailing Address - State:WY
Mailing Address - Zip Code:82331-0648
Mailing Address - Country:US
Mailing Address - Phone:307-326-8381
Mailing Address - Fax:307-326-5698
Practice Address - Street 1:1208 S. RIVER ST
Practice Address - Street 2:
Practice Address - City:SARATOGA
Practice Address - State:WY
Practice Address - Zip Code:82331-0648
Practice Address - Country:US
Practice Address - Phone:307-326-8381
Practice Address - Fax:307-326-5698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY7067A261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health