Red Rock Family Practice, Inc in Thermopolis - Rural Health
Red Rock Family Practice, Inc - NPI 1316914922
Red Rock Family Practice, Inc is a Rural Health in Thermopolis, . Red Rock Family Practice, Inc practices all healthcare services and medical treatments related to Rural Health. The NPI Number for Red Rock Family Practice, Inc is 1316914922. The last update date is 2017-12-29.
Red Rock Family Practice, Inc'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, Inc is 120 N C Ave, Thermopolis, . To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Red Rock Family Practice, Inc |
|---|---|
| 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 | 1316914922 |
|---|---|
| Provider Enumeration Date | 2006-03-02 |
| Last Updated Date | 2017-12-29 |
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 | Rural Health |
|---|---|
| Taxonomy | 261Qr1300X |
|
Definition: Provides primary care and preventive health services in rural medically underserved areas. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 116973401 | WY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Red Rock Family Practice, Inc by the Centers for Medicare & Medicaid Services?
The Red Rock Family Practice, Inc has been issued the NPI (National Provider Identifier) 1316914922 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Red Rock Family Practice, Inc?
The Red Rock Family Practice, Inc is physically situated at 120 N C Ave, in the city of Thermopolis, state of WY, with the postal code 824432410.
What is Red Rock Family Practice, Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Red Rock Family Practice, Inc's specialized field of practice is Rural Health, and the corresponding taxonomy code that categorizes this area of specialization is 261Qr1300X.
On what date did the Red Rock Family Practice, Inc receive its 1316914922 assignment from the Centers for Medicare & Medicaid Services?
The Red Rock Family Practice, Inc was assigned its 1316914922 by the Centers for Medicare & Medicaid Services on 2006-03-02.
When was the information related to Red Rock Family Practice, Inc most recently updated or refreshed?
The details pertaining to the Red Rock Family Practice, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2017-12-29.