South Lincioln Medical Clinic | |
711 Onyx St Kemmerer WY 83101 | |
(307) 877-4401 | |
(307) 877-3236 |
Full Name | South Lincioln Medical Clinic |
---|---|
Speciality | Clinic/Center |
Location | 711 Onyx St, Kemmerer, Wyoming |
Authorized Official Name and Position | Karl E Sundberg (CEO) |
Authorized Official Contact | 3078774401 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
South Lincioln Medical Clinic 711 Onyx St Kemmerer WY 83101-3214 Ph: (307) 877-4401 | South Lincioln Medical Clinic 711 Onyx St Kemmerer WY 83101 Ph: (307) 877-4401 |
NPI Number | 1386716710 |
---|---|
Provider Enumeration Date | 11/14/2006 |
Last Update Date | 03/03/2020 |
Medicare PECOS PAC ID | 2961490057 |
---|---|
Medicare Enrollment ID | O20190904002513 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386716710 | NPI | - | NPPES |
00943001 | Other | WY | BLUE CROSS |
106769901 | Medicaid | WY | |
830267172A001 | Other | WY | CHAMPUS |
830267172002 | Other | WY | WORKER'S COMP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 06-148 (Wyoming) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Imed Utah Heart - Kemmerer Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Onyx St, Kemmerer, WY 83101 Phone: 801-507-3500 | |
High Country Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Sage Ave, Kemmerer, WY 83101 Phone: 307-877-4466 Fax: 307-789-9832 | |
Community Strong Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Pine Ave Ste 3b, Kemmerer, WY 83101 Phone: 307-371-2479 | |
South Lincoln Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Onyx St, Kemmerer, WY 83101 Phone: 307-877-4401 Fax: 307-877-3236 | |
High Country Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Sage Ave, Kemmerer, WY 83101 Phone: 307-877-4466 Fax: 307-877-9832 |