| Big Horn Clinic | |
|
156 N. 6th Street Basin WY 82410-0388 | |
| (307) 568-2499 | |
| (307) 568-2699 |
| Full Name | Big Horn Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 156 N. 6th Street, Basin, Wyoming |
| Authorized Official Name and Position | Shelly L. Larson (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 3078645019 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Horn Clinic Po Box 388 156 N 6th Street Basin WY 82410-0388 Ph: (307) 568-2499 | Big Horn Clinic 156 N. 6th Street Basin WY 82410-0388 Ph: (307) 568-2499 |
| NPI Number | 1174524607 |
|---|---|
| Provider Enumeration Date | 08/09/2005 |
| Last Update Date | 04/12/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174524607 | NPI | - | NPPES |
| 107327310 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5946A (Wyoming) | Secondary |
| 207Q00000X | Family Medicine | (Wyoming) | Primary |
South Big Horn County Critical Access Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 388 South Us Hwy 20, Basin, WY 82410 Phone: 307-568-3311 Fax: 307-568-2139 | |
Midway Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 388 South Us Hwy 20, Basin, WY 82410 Phone: 307-568-3311 Fax: 307-568-2139 | |
Cody Regional Health Basin Rural Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 N 5th Street, Basin, WY 82410 Phone: 307-527-7501 |