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650 W Whalen Guernsey WY 82214-9999 | |
| (307) 836-3009 | |
| (307) 836-3022 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 650 W Whalen, Guernsey, Wyoming |
| Authorized Official Name and Position | Curt Dugger (CFO) |
| Authorized Official Contact | 3073582122 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1450 Douglas WY 82633-1450 Ph: (307) 358-2122 | 650 W Whalen Guernsey WY 82214-9999 Ph: (307) 836-3009 |
| NPI Number | 1871503375 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 03/05/2013 |
| Medicare PECOS PAC ID | 2264340843 |
|---|---|
| Medicare Enrollment ID | O20040902000318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871503375 | NPI | - | NPPES |
| 107215318 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 07163 (Wyoming) | Primary |
Platte County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 E Whalen St, Guernsey, WY 82214 Phone: 307-322-3861 | |
Banner Health Physicians West Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 E Whalen Street, Guernsey, WY 82214 Phone: 307-322-3861 Fax: 307-322-2018 | |