Prater Mountain Health Clinic | |
118 S Main St Suite 400 Thayne WY 83127 | |
(307) 883-7246 | |
(307) 883-7247 |
Full Name | Prater Mountain Health Clinic |
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Speciality | Clinic/Center |
Location | 118 S Main St, Thayne, Wyoming |
Authorized Official Name and Position | Darnell Simpson (PRESIDENT) |
Authorized Official Contact | 3078837246 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Prater Mountain Health Clinic Po Box 1179 Thayne WY 83127-1179 Ph: (307) 883-7246 | Prater Mountain Health Clinic 118 S Main St Suite 400 Thayne WY 83127 Ph: (307) 883-7246 |
NPI Number | 1982420311 |
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Provider Enumeration Date | 12/02/2024 |
Last Update Date | 02/12/2025 |
Medicare PECOS PAC ID | 0648700807 |
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Medicare Enrollment ID | O20250204001523 |
Identifier | Type | State | Issuer |
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1982420311 | NPI | - | NPPES |
Provider Name | Darnell Simpson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1831380955 PECOS PAC ID: 3870689235 Enrollment ID: I20071016000197 |
Provider Name | Devin J Simpson |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1164723060 PECOS PAC ID: 9436348729 Enrollment ID: I20110118001365 |
Independent Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 122 Peterson Pkwy, Thayne, WY 83127 Phone: 307-883-4437 Fax: 307-883-4436 |