| Dubois Medical Clinic | |
|
5647 Us Hwy 26 Dubois WY 82513-0577 | |
| (307) 455-2516 | |
| (307) 455-2526 |
| Full Name | Dubois Medical Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5647 Us Hwy 26, Dubois, Wyoming |
| Authorized Official Name and Position | Catherine E Keene (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3078576685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dubois Medical Clinic 511 N. 12th St. E Riverton WY 82501-3809 Ph: (307) 857-6685 | Dubois Medical Clinic 5647 Us Hwy 26 Dubois WY 82513-0577 Ph: (307) 455-2516 |
| NPI Number | 1700964699 |
|---|---|
| Provider Enumeration Date | 11/01/2006 |
| Last Update Date | 03/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700964699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Dubois Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5647 Us Hwy 26, Dubois, WY 82513 Phone: 307-455-2516 Fax: 307-455-2526 | |
Dubois Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5647 Us Hwy 26, Dubois Medical Clinic, Dubois, WY 82513 Phone: 307-455-2516 Fax: 307-455-2526 |