| Midwest/edgerton Medical Services, Inc. | |
|
531 Peake St. Midwest WY 82643 | |
| (307) 315-4173 | |
| (307) 437-6514 |
| Full Name | Midwest/edgerton Medical Services, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 531 Peake St., Midwest, Wyoming |
| Authorized Official Name and Position | Michael Ray Smith (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3073154173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midwest/edgerton Medical Services, Inc. Po Box 356 Midwest WY 82643-0356 Ph: (307) 315-4173 | Midwest/edgerton Medical Services, Inc. 531 Peake St. Midwest WY 82643 Ph: (307) 315-4173 |
| NPI Number | 1366000580 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 06/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366000580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Midwest Community Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 531 Peake Street, Midwest, WY 82643 Phone: 307-437-6513 Fax: 307-437-6514 |