# PLATTE COUNTY HOSPITAL DISTRICT BOARD

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PLATTE COUNTY HOSPITAL DISTRICT BOARD
- **Other names:** Platte County Legacy Home
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1821324567
- **Legal business name:** PLATTE COUNTY HOSPITAL DISTRICT BOARD
- **Authorized official:** JOSIE LAUCK NHA (ADMINISTRATOR)
- **Authorized official phone:** (307) 322-7351

## Contact information

- **Practice address:** 100 19TH ST, WHEATLAND, WY 82201-3162
- **Practice address phone:** (307) 322-7351
- **Practice address fax:** (307) 322-7351
- **Mailing address:** 204 15TH ST, PO BOX 1148, WHEATLAND, WY 82201
- **Mailing address phone:** (307) 322-6406
- **Mailing address fax:** (307) 322-4065

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 10302 | WY | Yes |

## Other

- **Enumeration date:** 10/31/2009
- **Last updated:** 04/30/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 128523800 | — | WY |