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Organization
JOHNSON COUNTY MEMORIAL HOSPITAL
Active
Organization
JOHNSON COUNTY MEMORIAL HOSPITAL
Active
Other names
Amie Holt Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE SENDEN (ADMINISTRATOR)
(307) 684-5521
Entity
Organization
Contact information
Practice address
497 WEST LOTT, BUFFALO, WY 82834-1609
(307) 684-5521
(307) 684-5385
Mailing address
497 WEST LOTT, BUFFALO, WY 82834-1609
(307) 684-5521
(307) 684-5385
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
06108
WY
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
313M00000X
Nursing Facility/Intermediate Care Facility
06108
WY
315D00000X
Inpatient Hospice
06108
WY
3336L0003X
Long Term Care Pharmacy
5201253
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106561101
—
WY
05
—
106561103
—
WY
Enumeration date
01/10/2006
Last updated
08/12/2024
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