| Urgent Care Of Jackson Hole, Llc | |
|
1415 South Highway 89 Jackson WY 83001 | |
| (307) 739-8999 | |
| Not Available |
| Full Name | Urgent Care Of Jackson Hole, Llc |
|---|---|
| Speciality | Clinic/center - Urgent Care |
| Location | 1415 South Highway 89, Jackson, Wyoming |
| Authorized Official Name and Position | Franklin Musser Rivers (PRESIDENT) |
| Authorized Official Contact | 3077398999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Urgent Care Of Jackson Hole, Llc Po Box 8640 Jackson WY 83002-8640 Ph: (307) 739-8999 | Urgent Care Of Jackson Hole, Llc 1415 South Highway 89 Jackson WY 83001 Ph: (307) 739-8999 |
| NPI Number | 1104032416 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 04/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104032416 | NPI | - | NPPES |
| 1104032416 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 5551A (Wyoming) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | 5551A (Wyoming) | Primary |
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› Verified 8 days ago
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