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 |
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› Verified 3 days ago
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 |