# SOUTH BIG HORN COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
- **Other names:** Midway Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1811901515
- **Legal business name:** SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
- **Authorized official:** MR. JOEL JACKSON (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (307) 568-1426

## Contact information

- **Practice address:** 388 SOUTH US HWY 20, BASIN, WY 82410-8902
- **Practice address phone:** (307) 568-3311
- **Practice address fax:** (307) 568-2139
- **Mailing address:** 388 SOUTH US HWY 20, BASIN, WY 82410-8902
- **Mailing address phone:** (307) 568-3311
- **Mailing address fax:** (307) 568-2139

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |
| 261QR1300X | Rural Health Clinic/Center | 06-139 | WY | — |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 10/30/2023