Organization
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
Active
Parent organization
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
Other names
South Big Horn County Critical Access Hospital
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH BIG HORN COUNTY HOSPITAL DISTRICT
Authorized official
JOEL JACKSON (CHIEF EXECUTIVE OFFICER)
(307) 568-1426
Entity
Organization
Contact information
Practice address
388 SOUTH US HWY 20, BASIN, WY 82410-8902
(307) 568-3311
(307) 568-2139
Mailing address
388 SOUTH US HWY 20, BASIN, WY 82410-8902
(307) 568-3311
(307) 568-2139
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
275N00000X
Medicare Defined Swing Bed Hospital Unit
—
—
282NC0060X
Critical Access Hospital
06-139
WY
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007385
BLUE SHIELD
WY
05
—
116049400
—
WY
05
—
116049401
—
WY
01
—
7385
BLUECROSS
WY
Enumeration date
08/12/2005
Last updated
10/30/2023
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