Provider Demographics
NPI:1114201845
Name:COWBOY URGENT CARE, INC
Entity Type:Organization
Organization Name:COWBOY URGENT CARE, INC
Other - Org Name:BIG HORN URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT AND CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SKAF
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:307-277-3867
Mailing Address - Street 1:813 HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SHERIDAN
Mailing Address - State:WY
Mailing Address - Zip Code:82801
Mailing Address - Country:US
Mailing Address - Phone:307-673-5501
Mailing Address - Fax:307-673-5434
Practice Address - Street 1:1453-A DEWAR DRIVE
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901
Practice Address - Country:US
Practice Address - Phone:307-382-2466
Practice Address - Fax:307-382-2068
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COWBOY URGENT CARE, INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-09-29
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty