| |
2620 Commercial Way Rock Springs WY 82901-4671 | |
(435) 755-6061 | |
(435) 994-8362 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2620 Commercial Way, Rock Springs, Wyoming |
Authorized Official Name and Position | Jorge Garcia (CEO) |
Authorized Official Contact | 4357556061 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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517 W 100 N Ste 210 Providence UT 84332-9826 Ph: (435) 755-6061 | 2620 Commercial Way Rock Springs WY 82901-4671 Ph: (435) 755-6061 |
NPI Number | 1063940344 |
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Provider Enumeration Date | 05/31/2017 |
Last Update Date | 06/01/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063940344 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Rock Springs Family Practice Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1208 Hilltop Dr, Suite 205, Rock Springs, WY 82901 Phone: 307-362-0083 Fax: 307-362-0084 | |
Wyo Acuity, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Gateway Blvd, Rock Springs, WY 82901 Phone: 307-362-3419 | |
Sweetwater Pediatrics P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1204 Hilltop Dr, Suite#106, Rock Springs, WY 82901 Phone: 307-362-5500 Fax: 307-362-0300 |