| Wyoming Family Practice | |
|
1522 E A St Casper WY 82601-2217 | |
| (307) 234-6161 | |
| (307) 234-7033 |
| Full Name | Wyoming Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 1522 E A St, Casper, Wyoming |
| Authorized Official Name and Position | Beth C. Robitaille (PROGRAM DIRECTOR) |
| Authorized Official Contact | 3072346161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Family Practice 1522 E A St Casper WY 82601-2217 Ph: (307) 234-6161 | Wyoming Family Practice 1522 E A St Casper WY 82601-2217 Ph: (307) 234-6161 |
| NPI Number | 1558657650 |
|---|---|
| Provider Enumeration Date | 06/27/2011 |
| Last Update Date | 02/17/2023 |
| Medicare PECOS PAC ID | 4183607054 |
|---|---|
| Medicare Enrollment ID | O20140926000650 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558657650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Wyoming) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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