Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 717 Pine Street, Upton, Wyoming |
Authorized Official Name and Position | John Y Pierce (INTERIM CEO) |
Authorized Official Contact | 6057559042 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
717 Pine Street Upton WY 82730 Ph: (307) 468-2302 | 717 Pine Street Upton WY 82730 Ph: (307) 468-2302 |
NPI Number | 1548693138 |
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Provider Enumeration Date | 08/19/2013 |
Last Update Date | 04/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548693138 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Weston County Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 717 Pine Street, Upton, WY 82730 Phone: 307-468-2302 | |
Cedar Hills Family Clinic, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 717 Pine Street, Upton, WY 82730 Phone: 307-468-2302 Fax: 307-468-2601 | |