| Mountain Trail Medical | |
|
542 16th St Rawlins WY 82301-5241 | |
| (307) 324-2759 | |
| Not Available |
| Full Name | Mountain Trail Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 542 16th St, Rawlins, Wyoming |
| Authorized Official Name and Position | Marvin Wayne Couch (PRESIDENT/OWNER) |
| Authorized Official Contact | 3073207075 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Trail Medical 1001a E Harmony Rd # 338 Fort Collins CO 80525-3354 Ph: (307) 314-3330 | Mountain Trail Medical 542 16th St Rawlins WY 82301-5241 Ph: (307) 324-2759 |
| NPI Number | 1760956924 |
|---|---|
| Provider Enumeration Date | 01/21/2019 |
| Last Update Date | 11/29/2023 |
| Medicare PECOS PAC ID | 8820337108 |
|---|---|
| Medicare Enrollment ID | O20190304002219 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760956924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Marvin Couch |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023031861 PECOS PAC ID: 1153352166 Enrollment ID: I20050829000838 |
The Meadowlark Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1016 W Spruce St Unit A, Rawlins, WY 82301 Phone: 307-328-5595 Fax: 307-328-5561 | |
Rawlins Family Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 606 23rd St, Rawlins, WY 82301 Phone: 307-324-6002 | |
V. Raja Chandra, Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 519 8th St, Rawlins, WY 82301 Phone: 307-324-2294 Fax: 307-328-1964 | |
Whoa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Ash, Rawlins, WY 82301 Phone: 307-324-0092 Fax: 307-324-0092 | |
Rawlins Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2213 E Cedar St, Rawlins, WY 82301 Phone: 307-324-6711 | |
Cesko Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 819 W Maple St, Rawlins, WY 82301 Phone: 307-324-3667 Fax: 307-324-5591 | |
Wagon Circle Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2012 W Elm Street, Rawlins, WY 82301 Phone: 307-324-9098 Fax: 307-324-6726 |