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Organization

CROOK COUNTY MEDICAL SERVICES DISTRICT

Active
Other names
Crook County Nursing Facility
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 82729-0517
(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
251J00000X
Nursing Care Agency
Primary
282E00000X
Long Term Care Hospital
07-105
WY
314000000X
Skilled Nursing Facility
315D00000X
Inpatient Hospice
385H00000X
Respite Care

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106168201
WY
05
106168205
WY
05
106168210
WY
Enumeration date
12/06/2006
Last updated
09/24/2020
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