| Platte Valley Clinic Inc. | |
|
1208 S River Street Saratoga WY 82331 | |
| (406) 655-1883 | |
| Not Available |
| Full Name | Platte Valley Clinic Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1208 S River Street, Saratoga, Wyoming |
| Authorized Official Name and Position | Karl Rude (PRESIDENT) |
| Authorized Official Contact | 4066551883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Platte Valley Clinic Inc. 1001 S 24th St W Ste 311 Billings MT 59102-6467 Ph: (406) 655-1883 | Platte Valley Clinic Inc. 1208 S River Street Saratoga WY 82331 Ph: (406) 655-1883 |
| NPI Number | 1629557426 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 08/16/2018 |
| Medicare PECOS PAC ID | 7517201437 |
|---|---|
| Medicare Enrollment ID | O20181204002586 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629557426 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| Provider Name | Brendan H Fitzsimmons |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912102989 PECOS PAC ID: 3870649056 Enrollment ID: I20090914000663 |
| Provider Name | Emma M Bjore |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922441328 PECOS PAC ID: 6103066766 Enrollment ID: I20170925002184 |
| Provider Name | Susan M Foley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366961070 PECOS PAC ID: 6002175346 Enrollment ID: I20180112002650 |
| Provider Name | Adrian Durham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760845739 PECOS PAC ID: 4284921958 Enrollment ID: I20200811001465 |
| Provider Name | Meaghan Henry |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1659140341 PECOS PAC ID: 9335582907 Enrollment ID: I20240210000732 |
Platte Valley Medical Clinic, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1208 S. River St, Saratoga, WY 82331 Phone: 307-326-8381 Fax: 307-326-5698 | |
Platte Valley Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1208 S River St, Saratoga, WY 82331 Phone: 307-326-8381 | |
Platte Valley Medical Clinic Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1208 South River Street, Saratoga, WY 82331 Phone: 307-326-8381 Fax: 307-326-5698 |