| 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 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972421576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ihc Health Services Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 702 Onyx St, Kemmerer, WY 83101 Phone: 801-507-3500 | |
South Lincoln Hospital District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 711 Onyx St, Kemmerer, WY 83101 Phone: 307-877-4401 Fax: 307-877-3236 | |
High Country Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Sage Ave, Kemmerer, WY 83101 Phone: 307-877-4466 Fax: 307-789-9832 | |
South Lincoln Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Onyx St, Kemmerer, WY 83101 Phone: 307-877-4401 Fax: 307-877-3236 | |
High Country Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 821 Sage Ave, Kemmerer, WY 83101 Phone: 307-877-4466 Fax: 307-877-9832 |