Organization
MEMORIAL HOSPITAL OF CONVERSE COUNTY
Active
Parent organization
MEMORIAL HOSPITAL OF CONVERSE COUNT
Other names
Laramie Peak Rural Health Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL OF CONVERSE COUNT
Authorized official
JAMES M CUSSINS (CFO)
(307) 358-2122
Entity
Organization
Contact information
Practice address
1356 SHIEK ST, WHEATLAND, WY 82201-3231
(307) 358-7300
Mailing address
PO BOX 1450, DOUGLAS, WY 82633-1450
(307) 358-1403
(307) 358-3432
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/07/2020
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