| Midwest Community Clinic | |
|
531 Peake Street Midwest WY 82643-0190 | |
| (307) 437-6513 | |
| (307) 437-6514 |
| Full Name | Midwest Community Clinic |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 531 Peake Street, Midwest, Wyoming |
| Authorized Official Name and Position | Razi Saydjari (MEDICAL DIRECTOR) |
| Authorized Official Contact | 3074376513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest Community Clinic Po Box 190 Midwest WY 82643-0190 Ph: (307) 437-6513 | Midwest Community Clinic 531 Peake Street Midwest WY 82643-0190 Ph: (307) 437-6513 |
| NPI Number | 1033479977 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 05/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033479977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Midwest/edgerton Medical Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 Peake St., Midwest, WY 82643 Phone: 307-315-4173 Fax: 307-437-6514 |