One Health | |
444 Greybull Ave Greybull WY 82426-2037 | |
(307) 764-4107 | |
Not Available |
Full Name | One Health |
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Speciality | Clinic/Center |
Location | 444 Greybull Ave, Greybull, Wyoming |
Authorized Official Name and Position | David Andrew Mark (CEO) |
Authorized Official Contact | 4066654103 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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One Health 130 N Bent St Ste B Powell WY 82435-2742 Ph: (307) 764-1602 | One Health 444 Greybull Ave Greybull WY 82426-2037 Ph: (307) 764-4107 |
NPI Number | 1538623665 |
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Provider Enumeration Date | 01/23/2019 |
Last Update Date | 10/20/2022 |
Medicare PECOS PAC ID | 8820246077 |
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Medicare Enrollment ID | O20220714003504 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538623665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Wyo Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 S 5th St, Greybull, WY 82426 Phone: 307-209-3391 Fax: 307-202-4535 |