| Wiley Medical Clinic | |
|
302 Main St Wiley CO 81092 | |
| (719) 829-4627 | |
| (719) 829-4269 |
| Full Name | Wiley Medical Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 302 Main St, Wiley, Colorado |
| Authorized Official Name and Position | Shannon Dixon (CFO) |
| Authorized Official Contact | 7194385401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiley Medical Clinic Po Box 99 Wiley CO 81092-0099 Ph: (719) 829-4627 | Wiley Medical Clinic 302 Main St Wiley CO 81092 Ph: (719) 829-4627 |
| NPI Number | 1134139504 |
|---|---|
| Provider Enumeration Date | 08/09/2006 |
| Last Update Date | 06/11/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134139504 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Wiley Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 302 Main, Wiley, CO 81092 Phone: 719-829-4627 Fax: 719-829-4269 | |
High Plains Wiley Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 302 Main, Wiley, CO 81092 Phone: 719-829-4286 Fax: 719-829-4288 |