Wyo Clinic Llc | |
6 S 5th St Greybull WY 82426-2133 | |
(307) 209-3391 | |
(307) 202-4535 |
Full Name | Wyo Clinic Llc |
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Speciality | Family Medicine |
Location | 6 S 5th St, Greybull, Wyoming |
Authorized Official Name and Position | Jeffrey Scott (OWNER) |
Authorized Official Contact | 3072093391 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Wyo Clinic Llc 6 S 5th St Greybull WY 82426-2133 Ph: (307) 209-3391 | Wyo Clinic Llc 6 S 5th St Greybull WY 82426-2133 Ph: (307) 209-3391 |
NPI Number | 1164142824 |
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Provider Enumeration Date | 09/01/2022 |
Last Update Date | 12/15/2022 |
Medicare PECOS PAC ID | 3476924218 |
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Medicare Enrollment ID | O20230113001860 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164142824 | NPI | - | NPPES |
53D2270355 | Other | CLIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jeffrey L Scott |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811964570 PECOS PAC ID: 1254322332 Enrollment ID: I20210505002865 |
One Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 444 Greybull Ave, Greybull, WY 82426 Phone: 307-764-4107 |