# MEMORIAL HOSPITAL OF CONVERSE COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEMORIAL HOSPITAL OF CONVERSE COUNT
- **Other names:** Laramie Peak Rural Health Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003413212
- **Legal business name:** MEMORIAL HOSPITAL OF CONVERSE COUNT
- **Authorized official:** JAMES M CUSSINS (CFO)
- **Authorized official phone:** (307) 358-2122

## Contact information

- **Practice address:** 1356 SHIEK ST, WHEATLAND, WY 82201-3231
- **Practice address phone:** (307) 358-7300
- **Mailing address:** PO BOX 1450, DOUGLAS, WY 82633-1450
- **Mailing address phone:** (307) 358-1403
- **Mailing address fax:** (307) 358-3432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/01/2020
- **Last updated:** 10/07/2020