| Energy Basin Clinic | |
|
1008 Feldspar Court Hanna WY 82327 | |
| (307) 325-6596 | |
| (307) 325-6597 |
| Full Name | Energy Basin Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1008 Feldspar Court, Hanna, Wyoming |
| Authorized Official Name and Position | Michelle Keplinger (CFO) |
| Authorized Official Contact | 3073248347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Energy Basin Clinic Po Box 689 Hanna WY 82327-0689 Ph: (307) 325-6596 | Energy Basin Clinic 1008 Feldspar Court Hanna WY 82327 Ph: (307) 325-6596 |
| NPI Number | 1194869115 |
|---|---|
| Provider Enumeration Date | 02/16/2007 |
| Last Update Date | 06/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194869115 | NPI | - | NPPES |
| 107205600 | Medicaid | WY | |
| 1399310 | Other | WY | UMWA |
| 00863001 | Other | WY | BCBS OF WYOMING |
| 185872500 | Other | WY | FEDERAL WORKERS COMP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 2916A (Wyoming) | Primary |
Julie Freeman Fnp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Trona Ct, Hanna, WY 82327 Phone: 903-565-9630 |