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8185 Highway 789 Lander WY 82520-2942 | |
(307) 332-2185 | |
(307) 332-7799 |
Full Name | |
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Speciality | Clinic/Center |
Location | 8185 Highway 789, Lander, Wyoming |
Authorized Official Name and Position | Amanda Sisco (REVENUE CYCLE MANAGER) |
Authorized Official Contact | 3072336000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5000 Blackmore Rd Casper WY 82609-3345 Ph: (307) 233-6000 | 8185 Highway 789 Lander WY 82520-2942 Ph: (307) 332-2185 |
NPI Number | 1205308855 |
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Provider Enumeration Date | 12/20/2018 |
Last Update Date | 03/08/2024 |
Medicare PECOS PAC ID | 3375454705 |
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Medicare Enrollment ID | O20190716000528 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205308855 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Lander Valley Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 930 Buena Vista Dr, Lander, WY 82520 Phone: 307-438-3122 | |
Children's Hospital Colorado Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8195 Highway 789, Lander, WY 82520 Phone: 307-330-8183 | |
Troy R. Jones, Md, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2240 N 2nd St, Lander, WY 82520 Phone: 307-332-0910 Fax: 307-332-3203 | |
Child Development Services Of Fremont County, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Push Root Ct, Lander, WY 82520 Phone: 307-332-5508 Fax: 307-332-7972 | |