| Banner Health Physicians West Llc | |
|
1 E Whalen Street Guernsey WY 82214 | |
| (307) 322-3861 | |
| (307) 322-2018 |
| Full Name | Banner Health Physicians West Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1 E Whalen Street, Guernsey, 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 1 E Whalen Street Guernsey WY 82214 Ph: (307) 322-3861 |
| NPI Number | 1275913105 |
|---|---|
| Provider Enumeration Date | 06/05/2015 |
| Last Update Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275913105 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Platte County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 E. Whalen St., Guernsey, WY 82214 Phone: 307-322-3861 | |
Memorial Hospital Of Converse County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 650 W Whalen, Guernsey, WY 82214 Phone: 307-836-3009 Fax: 307-836-3022 |