| Oregon Trail Rural Health Clinic | |
|
525 East Birch Street Glenrock WY 82637 | |
| (307) 436-8838 | |
| (307) 436-2476 |
| Full Name | Oregon Trail Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 525 East Birch Street, Glenrock, Wyoming |
| Authorized Official Name and Position | Curt Dugger (CFO) |
| Authorized Official Contact | 3073582122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oregon Trail Rural Health Clinic Po Box 1450 Douglas WY 82633-1450 Ph: (307) 358-2122 | Oregon Trail Rural Health Clinic 525 East Birch Street Glenrock WY 82637 Ph: (307) 436-8838 |
| NPI Number | 1679582357 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2264340843 |
|---|---|
| Medicare Enrollment ID | O20070727000722 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679582357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 07163 (Wyoming) | Primary |
Glenrock Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 925 W Birch St, Glenrock, WY 82637 Phone: 307-436-9206 Fax: 307-436-9730 |