| Red Rock Family Practice, Pc | |
|
120 N C Ave Thermopolis WY 82443-2410 | |
| (307) 864-5534 | |
| (307) 864-9470 |
| Full Name | Red Rock Family Practice, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 120 N C Ave, Thermopolis, Wyoming |
| Authorized Official Name and Position | Wade Travis Bomengen (OWNER) |
| Authorized Official Contact | 3078645534 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Rock Family Practice, Pc 120 N C Ave Thermopolis WY 82443-2410 Ph: (307) 864-5534 | Red Rock Family Practice, Pc 120 N C Ave Thermopolis WY 82443-2410 Ph: (307) 864-5534 |
| NPI Number | 1194792457 |
|---|---|
| Provider Enumeration Date | 03/07/2006 |
| Last Update Date | 06/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194792457 | NPI | - | NPPES |
| 116973400 | Medicaid | WY | |
| 116973402 | Medicaid | WY | |
| 53D0996144 | Other | WY | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Wellspring Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S 4th St, Thermopolis, WY 82443 Phone: 307-864-3138 Fax: 307-864-3139 | |
Red Rock Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 120 N C Ave, Thermopolis, WY 82443 Phone: 307-864-5534 Fax: 307-864-9470 | |
Red Rock Family Practice, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 N C Ave, Thermopolis, WY 82443 Phone: 307-864-5534 Fax: 307-864-9470 | |
Banner Health Physicians West Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 443 Big Horn St, Thermopolis, WY 82443 Phone: 307-864-3137 Fax: 307-864-3172 | |
Wellspring Counseling Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 121 S 4th St, Thermopolis, WY 82443 Phone: 307-864-3138 Fax: 307-864-3139 |