| Bighorn Valley Health Center Incorporated | |
|
444 Greybull Ave Greybull WY 82426-2037 | |
| (307) 764-4107 | |
| Not Available |
| Full Name | Bighorn Valley Health Center Incorporated |
|---|---|
| Speciality | Clinic/Center |
| Location | 444 Greybull Ave, Greybull, Wyoming |
| Authorized Official Name and Position | David Andrew Mark (CEO) |
| Authorized Official Contact | 4066654103 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bighorn Valley Health Center Incorporated 130 N Bent St Ste B Powell WY 82435-2742 Ph: (307) 764-1602 | Bighorn Valley Health Center Incorporated 444 Greybull Ave Greybull WY 82426-2037 Ph: (307) 764-4107 |
| NPI Number | 1538623665 |
|---|---|
| Provider Enumeration Date | 01/23/2019 |
| Last Update Date | 10/20/2022 |
| Medicare PECOS PAC ID | 8820246077 |
|---|---|
| Medicare Enrollment ID | O20220714003504 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538623665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Wyo Clinic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 S 5th St, Greybull, WY 82426 Phone: 307-209-3391 Fax: 307-207-0392 |