| Pine Bluffs Khs Health Clinic | |
|
117 E 4th St Pine Bluffs WY 82082-5000 | |
| (307) 245-3666 | |
| (307) 245-3656 |
| Full Name | Pine Bluffs Khs Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 117 E 4th St, Pine Bluffs, Wyoming |
| Authorized Official Name and Position | Cassie Gasseling (CEO) |
| Authorized Official Contact | 3082351951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine Bluffs Khs Health Clinic 255 W 4th St Kimball NE 69145-1706 Ph: (308) 235-1951 | Pine Bluffs Khs Health Clinic 117 E 4th St Pine Bluffs WY 82082-5000 Ph: (307) 245-3666 |
| NPI Number | 1629524335 |
|---|---|
| Provider Enumeration Date | 09/01/2016 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 5799751004 |
|---|---|
| Medicare Enrollment ID | O20161202000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629524335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Pine Bluffs Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 4th St, Pine Bluffs, WY 82082 Phone: 307-245-3666 |