Organization
WIND RIVER HOME OXYGEN-LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLARK MCINROY RRT (OWNER)
(307) 335-8403
Entity
Organization
Contact information
Practice address
1510 MAIN ST, LANDER, WY 82520-2658
(307) 335-8403
(307) 332-0485
Mailing address
1510 MAIN ST, LANDER, WY 82520-2658
(307) 335-8403
(307) 335-5402
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
WY
Other
Enumeration date
11/08/2006
Last updated
01/14/2025
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