| Red Rock Family Practice, Inc | |
|
120 N C Ave Thermopolis WY 82443-2410 | |
| (307) 864-5534 | |
| (307) 864-9470 |
| Full Name | Red Rock Family Practice, Inc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 120 N C Ave, Thermopolis, Wyoming |
| Authorized Official Name and Position | Wade Travis Bomengen (OWNER) |
| Authorized Official Contact | 3078645534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Rock Family Practice, Inc 120 N C Ave Thermopolis WY 82443-2410 Ph: (307) 864-5534 | Red Rock Family Practice, Inc 120 N C Ave Thermopolis WY 82443-2410 Ph: (307) 864-5534 |
| NPI Number | 1316914922 |
|---|---|
| Provider Enumeration Date | 03/02/2006 |
| Last Update Date | 12/29/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316914922 | NPI | - | NPPES |
| 116973401 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Red Rock Family Practice, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N C Ave, Thermopolis, WY 82443 Phone: 307-864-5534 Fax: 307-864-9470 | |
Wellspring Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S 4th St, Thermopolis, WY 82443 Phone: 307-864-3138 Fax: 307-864-3139 | |
Hot Springs Health Thermopolis Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 N C Ave, Thermopolis, WY 82443 Phone: 307-864-5534 Fax: 307-864-9470 | |
Banner Health Physicians West Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 443 Big Horn St, Thermopolis, WY 82443 Phone: 307-864-3137 Fax: 307-864-3172 | |
Wellspring Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S 4th St, Thermopolis, WY 82443 Phone: 307-864-3138 Fax: 307-864-3139 |