Prater Mountain Health Clinic
Organization Active NPI Multi-Specialty Clinic/Center · Thayne, WY
NPI 1982420311 · NPPES record last updated Feb 12, 2025
Key facts
- NPI
- 1982420311
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Multi-Specialty Clinic/Center 261QM1300X
- Legal business name
- PRATER MOUNTAIN HEALTH CLINIC
- Practice address
- 118 S Main St
Suite 400
Thayne, WY 83127 - Phone
- (307) 883-7246
- Fax
- (307) 883-7247
- NPI assigned
- Dec 2, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Darnell Simpson, DC
- Title
- President
- Phone
- (307) 883-7246
Practitioners 3
-
Darnell Simpson, DC
-
Devin J Simpson, D.C.
-
Eric Arthur Anderson, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250204001523 | WY | Part B Supplier - Clinic/Group Practice | 0648700807 |
Receives reassigned benefits from 3 practitioners Practice locations: Thayne, WY |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | |||
| General Practice Physician |
208D00000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Yes |
Addresses
Primary practice location
118 S Main St
Suite 400
Thayne, WY 83127
Mailing address
PO Box 1179
Thayne, WY 83127-1179
Phone (307) 883-7246
Other names
- Prater Mountain Health Clinic
Other providers in Thayne, WY
- Lower Valley Vision Clinic Inc
- Mark W Johnson, DMD, PC
- Kenneth Gerald Melton
- Haile M Merritt
- Sherry S Merritt
- Prater View Chiropractic, Inc.
- Premier Home Health Inc
- Amy Rainey
- Remote Dietitians LLC
- Matthew Bryce Roberts
All providers in Thayne, WY · Multi-Specialty Clinic/Center in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.