| Community Strong Llc | |
|
1100 Pine Ave Ste 3b Kemmerer WY 83101-3237 | |
| (307) 371-2479 | |
| Not Available |
| Full Name | Community Strong Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 Pine Ave Ste 3b, Kemmerer, Wyoming |
| Authorized Official Name and Position | Whitney D Butcher (CAO) |
| Authorized Official Contact | 4052297898 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Strong Llc 1100 Pine Ave Ste 3b Kemmerer WY 83101-3237 Ph: (405) 229-7898 | Community Strong Llc 1100 Pine Ave Ste 3b Kemmerer WY 83101-3237 Ph: (307) 371-2479 |
| NPI Number | 1831966266 |
|---|---|
| Provider Enumeration Date | 12/06/2023 |
| Last Update Date | 12/06/2023 |
| Medicare PECOS PAC ID | 3779928627 |
|---|---|
| Medicare Enrollment ID | O20240229004639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831966266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Kathy Bella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902299787 PECOS PAC ID: 0648597534 Enrollment ID: I20150403000440 |
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