| 307 Longevity Pc | |
|
1120 Beck Ave Cody WY 82414-3624 | |
| (307) 527-0355 | |
| (307) 527-0360 |
| Full Name | 307 Longevity Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1120 Beck Ave, Cody, Wyoming |
| Authorized Official Name and Position | Christopher Thoma (OWNER) |
| Authorized Official Contact | 3078990009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 307 Longevity Pc Po Box 308 Wapiti WY 82450-0308 Ph: (307) 899-0009 | 307 Longevity Pc 1120 Beck Ave Cody WY 82414-3624 Ph: (307) 527-0355 |
| NPI Number | 1316783673 |
|---|---|
| Provider Enumeration Date | 07/06/2024 |
| Last Update Date | 07/06/2024 |
| Medicare PECOS PAC ID | 8325572365 |
|---|---|
| Medicare Enrollment ID | O20241113001050 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316783673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Christopher Franklin Thoma |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1679942775 PECOS PAC ID: 9032427604 Enrollment ID: I20241113001132 |
St. Vincent Healthcare Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1025 9th St, Cody, WY 82414 Phone: 877-587-2955 | |
West Park Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 Yellowstone Ave, Suite 120, Cody, WY 82414 Phone: 307-578-2907 Fax: 307-587-1256 | |
Cody Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2107 Sheridan Avenue, Cody, WY 82414 Phone: 307-586-5303 | |
Frontier Neurosciences, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 702 Platinum Dr, Cody, WY 82414 Phone: 307-578-1985 Fax: 307-578-1938 | |
Intermountain Medical Group Denver, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 424 Yellowstone Ave Ste 130, Cody, WY 82414 Phone: 801-442-5502 | |
Scl Health Medical Group - Billings, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 424 Yellowstone Ave Ste 310, Cody, WY 82414 Phone: 307-578-1800 Fax: 307-578-1814 |