| PG Direct Care LLC | |
|
1100 Pine Ave Ste 3b Kemmerer WY 83101 | |
| (307) 381-8446 | |
| (307) 209-5774 |
| Full Name | PG Direct Care LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 Pine Ave, Kemmerer, Wyoming |
| Authorized Official Name and Position | Nicholas J Green (OWNER) |
| Authorized Official Contact | 3073818446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| PG Direct Care LLC 30 N Gould St Ste N Sheridan WY 82801-6317 Ph: (307) 381-8446 | PG Direct Care LLC 1100 Pine Ave Ste 3b Kemmerer WY 83101 Ph: (307) 381-8446 |
| NPI Number | 1972421576 |
|---|---|
| Provider Enumeration Date | 07/09/2026 |
| Last Update Date | 07/09/2026 |
| Certification Date | 06/04/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972421576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
Imed Utah Heart - Kemmerer Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Onyx St, Kemmerer, WY 83101 Phone: 801-507-3500 |
South Lincioln Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Onyx St, Kemmerer, WY 83101 Phone: 307-877-4401 Fax: 307-877-3236 |
Community Strong LLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1100 Pine Ave Ste 3b, Kemmerer, WY 83101 Phone: 405-229-7898 |
South Lincoln Medical Specialty Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Onyx St, Kemmerer, WY 83101 Phone: 307-877-4401 Fax: 307-877-3236 |