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Organization
JOHNSON COUNTY MEMORIAL HOSPITAL
Active
Organization
JOHNSON COUNTY MEMORIAL HOSPITAL
Active
Other names
Johnson County Healthcare Center Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE SENDEN (CEO)
(307) 684-6188
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
251E00000X
Home Health Agency
Primary
06049
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106561105
—
WY
01
—
106561106
MEDICAID WAIVER
WY
01
—
530026
WORKERS COMP
WY
Enumeration date
01/10/2006
Last updated
08/12/2024
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