Organization
HIGH COUNTRY MEDICAL SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC BOONE HODGES OTR (OWNER)
(307) 887-2877
Entity
Organization
Contact information
Practice address
47 DOC PERKES RD, AFTON, WY 83110
(307) 883-8877
(307) 883-8876
Mailing address
PO BOX 860, THAYNE, WY 83127-0860
(307) 883-8877
(307) 883-8876
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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