The Meadowlark Clinic | |
1016 W Spruce St Unit A Rawlins WY 82301-5371 | |
(307) 328-5595 | |
(307) 328-5561 |
Full Name | The Meadowlark Clinic |
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Speciality | Family Medicine |
Location | 1016 W Spruce St Unit A, Rawlins, Wyoming |
Authorized Official Name and Position | Stephanie Chiu (OWNER / PROVIDER) |
Authorized Official Contact | 9706902577 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Meadowlark Clinic Po Box 1687 Rawlins WY 82301-1687 Ph: (702) 453-3799 | The Meadowlark Clinic 1016 W Spruce St Unit A Rawlins WY 82301-5371 Ph: (307) 328-5595 |
NPI Number | 1013528298 |
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Provider Enumeration Date | 08/12/2020 |
Last Update Date | 03/22/2023 |
Medicare PECOS PAC ID | 4981022142 |
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Medicare Enrollment ID | O20200921001055 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013528298 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Stephanie Chiu |
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Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1508152786 PECOS PAC ID: 1456576545 Enrollment ID: I20190313001129 |
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