| Wyo Clinic Llc | |
|
6 S 5th St Greybull WY 82426-2133 | |
| (307) 209-3391 | |
| (307) 207-0392 |
| Full Name | Wyo Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 6 S 5th St, Greybull, Wyoming |
| Authorized Official Name and Position | Jeffrey Scott (OWNER) |
| Authorized Official Contact | 3072093391 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyo Clinic Llc 6 S 5th St Greybull WY 82426-2133 Ph: (307) 209-3391 | Wyo Clinic Llc 6 S 5th St Greybull WY 82426-2133 Ph: (307) 209-3391 |
| NPI Number | 1164142824 |
|---|---|
| Provider Enumeration Date | 09/01/2022 |
| Last Update Date | 01/18/2025 |
| Medicare PECOS PAC ID | 3476924218 |
|---|---|
| Medicare Enrollment ID | O20230113001860 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164142824 | NPI | - | NPPES |
| 53D2270355 | Other | CLIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jeffrey L Scott |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811964570 PECOS PAC ID: 1254322332 Enrollment ID: I20210505002865 |
Bighorn Valley Health Center Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 444 Greybull Ave, Greybull, WY 82426 Phone: 307-764-4107 |