Organization
FAMILY MEDICAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY P HALLINAN MD (PHYSICIAN MANAGING PARTNER)
(307) 682-3333
Entity
Organization
Contact information
Practice address
709 W 8TH STREET, SUITE 4, GILLETTE, WY 82716-4125
(307) 682-3333
(307) 682-6723
Mailing address
709 W 8TH STREET, SUITE 4, GILLETTE, WY 82716-4125
(307) 682-3333
(307) 682-6723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C01316
RAILROAD MEDICARE GP
WY
Enumeration date
10/04/2006
Last updated
08/22/2020
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