| Cody Regional Rural Health Clinic | |
|
424 Yellowstone Ave Cody WY 82414-9309 | |
| (307) 527-7501 | |
| Not Available |
| Full Name | Cody Regional Rural Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 424 Yellowstone Ave, Cody, Wyoming |
| Authorized Official Name and Position | Shannon Salters (MEDICAL STAFF SERVICES) |
| Authorized Official Contact | 3075782486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cody Regional Rural Health Clinic 707 Sheridan Ave Cody WY 82414-3409 Ph: (307) 527-7501 | Cody Regional Rural Health Clinic 424 Yellowstone Ave Cody WY 82414-9309 Ph: (307) 527-7501 |
| NPI Number | 1477192243 |
|---|---|
| Provider Enumeration Date | 12/27/2019 |
| Last Update Date | 03/15/2024 |
| Medicare PECOS PAC ID | 7315855624 |
|---|---|
| Medicare Enrollment ID | O20200130001212 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477192243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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