# MEMORIAL HOSPITAL OF CARBON COUNTY

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MEMORIAL HOSPITAL OF CARBON COUNTY
- **Other names:** Energy Basin Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194869115
- **Legal business name:** MEMORIAL HOSPITAL OF CARBON COUNTY
- **Authorized official:** MICHELLE KEPLINGER (CFO)
- **Authorized official phone:** (307) 324-8347

## Contact information

- **Practice address:** 1008 FELDSPAR COURT, HANNA, WY 82327
- **Practice address phone:** (307) 325-6596
- **Practice address fax:** (307) 325-6597
- **Mailing address:** PO BOX 689, HANNA, WY 82327-0689
- **Mailing address phone:** (307) 325-6596
- **Mailing address fax:** (307) 325-6597

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 2916A | WY | Yes |

## Other

- **Enumeration date:** 02/16/2007
- **Last updated:** 06/15/2017