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Organization
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
Active
Organization
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
Active
Parent organization
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
Other names
Bonnie BlueJacket Memorial Nursing Home
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
Authorized official
MR. RICK SCHROEDER (ADMINISTRATOR)
(307) 568-3311
Entity
Organization
Contact information
Practice address
388 SOUTH US HWY 20, BASIN, WY 82410-8902
(307) 568-3311
(307) 568-2139
Mailing address
388 SOUTH US HWY 20, BASIN, WY 82410-8902
(307) 568-3311
(307) 568-2139
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007385
BLUE SHIELD
WY
05
—
106024401
—
WY
05
—
106024402
—
WY
Enumeration date
07/24/2006
Last updated
01/25/2022
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