| Trailhead Inpatient Services, Llc | |
|
111 S 5th St Douglas WY 82633-2434 | |
| (307) 358-2122 | |
| (800) 305-3233 |
| Full Name | Trailhead Inpatient Services, Llc |
|---|---|
| Speciality | Hospitalist |
| Location | 111 S 5th St, Douglas, Wyoming |
| Authorized Official Name and Position | Joseph W Taylor (EXEC, VICE PRESIDENT, EPP) |
| Authorized Official Contact | 8004447009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trailhead Inpatient Services, Llc 815 S Palafox St 3rd Floor Pensacola FL 32502-5960 Ph: (800) 444-7009 | Trailhead Inpatient Services, Llc 111 S 5th St Douglas WY 82633-2434 Ph: (307) 358-2122 |
| NPI Number | 1487997094 |
|---|---|
| Provider Enumeration Date | 04/02/2013 |
| Last Update Date | 08/12/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487997094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
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Memorial Hospital Of Converse County Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 111 S 5th St, Douglas, WY 82633 Phone: 307-358-2122 Fax: 307-358-9216 | |
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Douglas Med Spa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 119 N 3rd St, Douglas, WY 82633 Phone: 307-358-5244 | |
Banner Health Physicians West Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 S 5th St, Douglas, WY 82633 Phone: 307-358-4350 Fax: 307-322-3861 | |
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