Red Rock Family Practice, Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

RED ROCK FAMILY PRACTICE, INC

Practice address

1125 Charles Ave
Worland, WY 82401-4021

Phone

(307) 347-2449

Fax

(307) 347-6187

NPI assigned

Jul 6, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Jenifer Lin Grimm

Title

Billing Department

Phone

(307) 864-8208

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514505600000",
    "number": "1023247624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N C AVE",
            "city": "THERMOPOLIS",
            "state": "WY",
            "postal_code": "824432410",
            "telephone_number": "307-864-5534",
            "fax_number": "307-864-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 CHARLES AVE",
            "city": "WORLAND",
            "state": "WY",
            "postal_code": "824014021",
            "telephone_number": "307-347-2449",
            "fax_number": "307-347-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED ROCK FAMILY PRACTICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-06",
        "last_updated": "2017-12-29",
        "status": "A",
        "authorized_official_last_name": "GRIMM",
        "authorized_official_first_name": "JENIFER",
        "authorized_official_middle_name": "LIN",
        "authorized_official_title_or_position": "BILLING DEPARTMENT",
        "authorized_official_telephone_number": "307-864-8208",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rural Health Clinic/Center in Worland, WY
• Providers in Worland, WY by specialty
• Rural Health Clinic/Center in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.