Red Rock Family Practice, Pc in Thermopolis - Family Medicine
Red Rock Family Practice, Pc - NPI 1194792457
Red Rock Family Practice, Pc is a Family Medicine in Thermopolis, . Red Rock Family Practice, Pc practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Red Rock Family Practice, Pc is 1194792457. The last update date is 2012-06-07.
Red Rock Family Practice, Pc's current location address is 120 N C Ave, Thermopolis, . You can contact this provider via phone number 3078645534 and fax number 3078649470. The mailing address for Red Rock Family Practice, Pc is 120 N C Ave, Thermopolis, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Red Rock Family Practice, Pc |
|---|---|
| Address | 120 N C Ave, Thermopolis, |
| Phone Number | 3078645534 |
| Fax Number | 3078649470 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Bomengen Travis Wade |
| Credentials | M.D. |
| Telephone Number | 3078645534 |
NPI Number Detail
| NPI Number | 1194792457 |
|---|---|
| Provider Enumeration Date | 2006-03-07 |
| Last Updated Date | 2012-06-07 |
Provider Mailing Address Detail
| Address | 120 N C Ave |
|---|---|
| City | Thermopolis |
| State | (WY) |
| Post Code | 824432410 |
| Phone Number | 3078645534 |
| Fax Number | 3078649470 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116973400 | WY | -- | |
| 116973402 | WY | -- | |
| 53D0996144 | WY | CLIA |
Post Comment/ Review Below
What is the Red Rock Family Practice, Pc's unique identification number?
The Red Rock Family Practice, Pc has been assigned the NPI (National Provider Identifier) Number 1194792457 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Red Rock Family Practice, Pc's facilities are situated?
The facilities of Red Rock Family Practice, Pc are physically located at the following address: 120 N C Ave, Thermopolis, WY, 824432410.
What is Red Rock Family Practice, Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Red Rock Family Practice, Pc is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.
When did Red Rock Family Practice, Pc receive its 1194792457 assignment?
The Red Rock Family Practice, Pc was assigned its 1194792457 on 2006-03-07, which is the date when this unique identifier was issued to the organization.
When was the information regarding Red Rock Family Practice, Pc most recently updated?
The details pertaining to the Red Rock Family Practice, Pc, including its address, specialty, and other relevant information, were last refreshed on 2012-06-07.