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2620 Commercial Way Rock Springs WY 82901-4671 | |
(307) 212-5105 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 2620 Commercial Way, Rock Springs, Wyoming |
Authorized Official Name and Position | Amelia Murphy (MEDICAL STAFF COORDINATOR) |
Authorized Official Contact | 2082327862 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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500 S 11th Ave Ste 400 Pocatello ID 83201-4880 Ph: (208) 232-7862 | 2620 Commercial Way Rock Springs WY 82901-4671 Ph: (307) 212-5105 |
NPI Number | 1992411821 |
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Provider Enumeration Date | 01/24/2023 |
Last Update Date | 04/02/2024 |
Medicare PECOS PAC ID | 4981500931 |
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Medicare Enrollment ID | O20240416001247 |
Identifier | Type | State | Issuer |
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1992411821 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Rock Springs Family Practice Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1208 Hilltop Dr, Suite 205, Rock Springs, WY 82901 Phone: 307-362-0083 Fax: 307-362-0084 | |
Wyo Acuity, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Gateway Blvd, Rock Springs, WY 82901 Phone: 307-362-3419 | |
Sweetwater Pediatrics P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 Hilltop Dr, Suite#106, Rock Springs, WY 82901 Phone: 307-362-5500 Fax: 307-362-0300 |