| Prater Mountain Health Clinic Llc | |
|
118 S Main St Suite 400 Thayne WY 83127 | |
| (307) 883-7246 | |
| (307) 883-7247 |
| Full Name | Prater Mountain Health Clinic Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 118 S Main St, Thayne, Wyoming |
| Authorized Official Name and Position | Darnell Simpson (PRESIDENT) |
| Authorized Official Contact | 3078837246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prater Mountain Health Clinic Llc Po Box 1179 Thayne WY 83127-1179 Ph: (307) 883-7246 | Prater Mountain Health Clinic Llc 118 S Main St Suite 400 Thayne WY 83127 Ph: (307) 883-7246 |
| NPI Number | 1982420311 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 12/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982420311 | NPI | - | NPPES |
Independent Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Peterson Pkwy, Thayne, WY 83127 Phone: 307-883-4437 Fax: 307-883-4436 |