Bighorn Valley Health Center, Incorporated | |
902 Blackburn St Ste F Cody WY 82414-8494 | |
(000) 000-0000 | |
Not Available |
Full Name | Bighorn Valley Health Center, Incorporated |
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Speciality | Clinic/Center |
Location | 902 Blackburn St Ste F, Cody, Wyoming |
Authorized Official Name and Position | David Andrew Mark (CEO) |
Authorized Official Contact | 4066654103 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Bighorn Valley Health Center, Incorporated 207 W Main St Ste 5 Lewistown MT 59457-2718 Ph: () - | Bighorn Valley Health Center, Incorporated 902 Blackburn St Ste F Cody WY 82414-8494 Ph: (000) 000-0000 |
NPI Number | 1407628548 |
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Provider Enumeration Date | 10/23/2023 |
Last Update Date | 10/23/2023 |
Medicare PECOS PAC ID | 8820246077 |
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Medicare Enrollment ID | O20240805000285 |
Identifier | Type | State | Issuer |
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1407628548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Cody Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2107 Sheridan Avenue, Cody, WY 82414 Phone: 307-586-5303 | |
307 Longevity Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1120 Beck Ave, Cody, WY 82414 Phone: 307-527-0355 Fax: 307-527-0360 | |