| Banner Health Physicians West Llc | |
|
443 Big Horn St Thermopolis WY 82443-2306 | |
| (307) 864-3137 | |
| (307) 864-3172 |
| Full Name | Banner Health Physicians West Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 443 Big Horn St, Thermopolis, 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 443 Big Horn St Thermopolis WY 82443-2306 Ph: (307) 864-3137 |
| NPI Number | 1568909968 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 01/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568909968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Red Rock Family Practice, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N C Ave, Thermopolis, WY 82443 Phone: 307-864-5534 Fax: 307-864-9470 | |
Wellspring Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S 4th St, Thermopolis, WY 82443 Phone: 307-864-3138 Fax: 307-864-3139 | |
Red Rock Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 N C Ave, Thermopolis, WY 82443 Phone: 307-864-5534 Fax: 307-864-9470 | |
Red Rock Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N C Ave, Thermopolis, WY 82443 Phone: 307-864-5534 Fax: 307-864-9470 | |
Wellspring Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S 4th St, Thermopolis, WY 82443 Phone: 307-864-3138 Fax: 307-864-3139 |