Organization
CROOK COUNTY MEDICAL SERVICES DISTRICT
Active
Other names
Crook County Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MICKI DAHNE LYONS DNP (CEO)
(307) 283-3501
Entity
Organization
Contact information
Practice address
713 OAK STREET, SUNDANCE, WY 82729
(307) 283-3501
(307) 283-2255
Mailing address
PO BOX 517, 713 OAK STREET, SUNDANCE, WY 82729-0517
(307) 283-3501
(307) 283-2255
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
07-036
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106168209
—
WY
Enumeration date
12/01/2006
Last updated
09/24/2020
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