| Family Clinic | |
|
1315 E A St Casper WY 82601-2212 | |
| (307) 235-8552 | |
| (307) 235-4656 |
| Full Name | Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1315 E A St, Casper, Wyoming |
| Authorized Official Name and Position | Dana R Ideen (MANAGING MEMBER) |
| Authorized Official Contact | 3072358552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Clinic 1315 E A St Casper WY 82601-2212 Ph: (307) 235-8552 | Family Clinic 1315 E A St Casper WY 82601-2212 Ph: (307) 235-8552 |
| NPI Number | 1871629832 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 11/11/2010 |
| Medicare PECOS PAC ID | 3678563335 |
|---|---|
| Medicare Enrollment ID | O20040514000405 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871629832 | NPI | - | NPPES |
| 102746800 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Dana Ray Ideen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558375477 PECOS PAC ID: 7719172956 Enrollment ID: I20101112000637 |
Wyocity Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 940 E 3rd St Ste 205, Casper, WY 82601 Phone: 307-394-1341 | |
Gunflint Eye Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10577 Bishop Rd, Casper, WY 82604 Phone: 307-439-0100 | |
Community Health Center Of Central Wyoming Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5000 Blackmore Rd, Casper, WY 82609 Phone: 307-233-6092 | |
Western Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2546 E 2nd St, Suite 600, Casper, WY 82609 Phone: 307-265-3737 Fax: 307-265-3700 | |
Mind Of Peace Counseling Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 145 S Durbin St, Casper, WY 82601 Phone: 308-631-6066 | |
Rocky Mountain Family Medicine Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5840 E 2nd St. Suite 200, Casper, WY 82601 Phone: 307-315-6133 Fax: 307-315-6134 | |
Imed Hrs Casper Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1233 E 2nd St, Casper, WY 82601 Phone: 801-507-3500 |