| Hunter Family Medical Clinic Pc | |
|
2751 Commercial Way Rock Springs WY 82901 | |
| (307) 382-7414 | |
| (307) 382-7396 |
| Full Name | Hunter Family Medical Clinic Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 2751 Commercial Way, Rock Springs, Wyoming |
| Authorized Official Name and Position | Kurt Leroy Hunter (OWNER PRESIDENT) |
| Authorized Official Contact | 3073827414 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hunter Family Medical Clinic Pc 2751 Commercial Way Rock Springs WY 82901 Ph: (307) 382-7414 | Hunter Family Medical Clinic Pc 2751 Commercial Way Rock Springs WY 82901 Ph: (307) 382-7414 |
| NPI Number | 1538200761 |
|---|---|
| Provider Enumeration Date | 02/09/2007 |
| Last Update Date | 03/08/2013 |
| Medicare PECOS PAC ID | 2062495278 |
|---|---|
| Medicare Enrollment ID | O20040609001233 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538200761 | NPI | - | NPPES |
| 114047700 | Medicaid | WY | |
| 53D0972961 | Other | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 6113A (Wyoming) | Primary |
| 291U00000X | Clinical Medical Laboratory | CLIA53D0972961 (Wyoming) | Secondary |
| Provider Name | Kurt L Hunter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861608739 PECOS PAC ID: 0648253880 Enrollment ID: I20041108000911 |
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