Hometown Medical Clinic P.c. | |
219 W Main St Newcastle WY 82701-2125 | |
(307) 746-2182 | |
Not Available |
Full Name | Hometown Medical Clinic P.c. |
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Speciality | Family Medicine |
Location | 219 W Main St, Newcastle, Wyoming |
Authorized Official Name and Position | Ashley Tupper (OWNER) |
Authorized Official Contact | 3077468108 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hometown Medical Clinic P.c. 219 W Main St Newcastle WY 82701-2125 Ph: (307) 746-2182 | Hometown Medical Clinic P.c. 219 W Main St Newcastle WY 82701-2125 Ph: (307) 746-2182 |
NPI Number | 1548821507 |
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Provider Enumeration Date | 06/21/2019 |
Last Update Date | 01/16/2024 |
Medicare PECOS PAC ID | 0244569135 |
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Medicare Enrollment ID | O20190830001798 |
Identifier | Type | State | Issuer |
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1548821507 | NPI | - | NPPES |
Provider Name | Ashley Tupper |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316354590 PECOS PAC ID: 8921225988 Enrollment ID: I20160129001178 |
Provider Name | Martha J Wilson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144726670 PECOS PAC ID: 6103174875 Enrollment ID: I20180813002158 |
Provider Name | Shellie Ann Hensley |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366203762 PECOS PAC ID: 9537505755 Enrollment ID: I20240311002461 |
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