| Banner Health Physicians West Llc | |
|
222 S 5th St Douglas WY 82633-2534 | |
| (307) 358-4350 | |
| (307) 322-3861 |
| Full Name | Banner Health Physicians West Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 222 S 5th St, Douglas, Wyoming |
| Authorized Official Name and Position | Dennis Laraway (CFO) |
| Authorized Official Contact | 6027474000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Banner Health Physicians West Llc 2901 N Central Ave Ste 160 Phoenix AZ 85012-2702 Ph: () - | Banner Health Physicians West Llc 222 S 5th St Douglas WY 82633-2534 Ph: (307) 358-4350 |
| NPI Number | 1598145476 |
|---|---|
| Provider Enumeration Date | 06/04/2015 |
| Last Update Date | 02/11/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598145476 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
High Country Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1841 Madora Ave, Douglas, WY 82633 Phone: 307-358-2846 Fax: 307-789-4225 | |
Memorial Hospital Of Converse County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-2122 Fax: 307-358-9216 | |
High Country Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1841 Madora Ave, Douglas, WY 82633 Phone: 307-358-2846 Fax: 307-358-1144 | |
Trailhead Inpatient Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-2122 Fax: 800-305-3233 | |
Douglas Med Spa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N 3rd St, Douglas, WY 82633 Phone: 307-358-5244 | |
Douglas Medical Skincare & Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 N 3rd St, Douglas, WY 82633 Phone: 307-358-5244 |