# JOHNSON COUNTY MEMORIAL HOSPITAL

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Amie Holt Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427037407
- **Authorized official:** MR. LUKE SENDEN (ADMINISTRATOR)
- **Authorized official phone:** (307) 684-5521

## Contact information

- **Practice address:** 497 WEST LOTT, BUFFALO, WY 82834-1609
- **Practice address phone:** (307) 684-5521
- **Practice address fax:** (307) 684-5385
- **Mailing address:** 497 WEST LOTT, BUFFALO, WY 82834-1609
- **Mailing address phone:** (307) 684-5521
- **Mailing address fax:** (307) 684-5385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | 06108 | WY | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 06108 | WY | — |
| 315D00000X | Inpatient Hospice | 06108 | WY | — |
| 3336L0003X | Long Term Care Pharmacy | 5201253 | WY | — |

## Other

- **Enumeration date:** 01/10/2006
- **Last updated:** 08/12/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 106561101 | — | WY |
| 05 | — | 106561103 | — | WY |