OrganizationActive
Grand Teton Medical Clinic
NPI 1891997151 · Urgent Care Clinic/Center · Moran, WY
Grand Teton Medical Clinic is a Urgent Care Clinic/Center organization in Moran, WY (NPI 1891997151).
Provider details
- NPI number
- 1891997151
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brent Blue, Clinic Owner(307) 733-8002
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Inner Loop Road
Jackson Lake Lodge
Moran, WY 83013
Phone: (307) 543-2514
Fax: (307) 543-2514
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 15240
Jackson, WY 83002-5240
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2007-08-02
Frequently asked questions
- What is Grand Teton Medical Clinic's NPI number?
- Grand Teton Medical Clinic's National Provider Identifier (NPI) is 1891997151, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Teton Medical Clinic?
- Grand Teton Medical Clinic is classified in the NPPES registry as Urgent Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Grand Teton Medical Clinic located?
- Grand Teton Medical Clinic's practice location on file with NPPES is Inner Loop Road, Moran, WY 83013.
- What is Grand Teton Medical Clinic's phone number?
- The practice phone number listed in the NPPES registry for Grand Teton Medical Clinic is (307) 543-2514.
- Who is the authorized official for Grand Teton Medical Clinic?
- The authorized official listed on Grand Teton Medical Clinic's NPPES record is Brent Blue, Clinic Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Teton Medical Clinic's NPI active?
- Yes — Grand Teton Medical Clinic's NPI (1891997151) is active in the NPPES registry as of the last update on 2007-08-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.