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Organization

JOHNSON COUNTY MEMORIAL HOSPITAL

Active
Other names
Johnson County Healthcare Center
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) 684-6188
(307) 684-5385
Mailing address
497 WEST LOTT, BUFFALO, WY 82834-1609
(307) 684-6188
(307) 684-5385

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
06140
WY
275N00000X
Medicare Defined Swing Bed Hospital Unit
06140
WY
282NC0060X
Critical Access Hospital
Primary
06140
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007336
BLUE CROSS BLUE SHIELD
WY
01
00984001
BLUE CROSS BLUE SHIELD
WY
05
106561100
WY
05
106561102
WY
05
106561104
WY
05
106561110
WY
05
1106561111
WY
01
185689800
WORKERS COMP & COMMERCIAL
WY
01
530026
WORKERS COMP & COMMERCIAL
WY
01
Y415571
WORKERS COMP & COMMERCIAL
WY
Enumeration date
01/09/2006
Last updated
08/12/2024
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