Organization
RED ROCK FAMILY PRACTICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENIFER LIN GRIMM (BILLING DEPARTMENT)
(307) 864-5534
Entity
Organization
Contact information
Practice address
1125 CHARLES AVE, WORLAND, WY 82401-4021
(307) 347-2449
(307) 864-9470
Mailing address
120 N C AVE, THERMOPOLIS, WY 82443-2410
(307) 864-5534
(307) 864-9470
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/06/2009
Last updated
12/29/2017
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