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Organization

WEST PARK HOSPITAL HOME HEALTH

Active
Parent organization
WEST PARK HOSPITAL DISTRICT
Other names
Spirit Mountain Hospice
Organization subpart
Yes

Provider details

NPI number
Legal business name
WEST PARK HOSPITAL DISTRICT
Authorized official
MR. PATRICK MCCONNELL (CFO)
(307) 578-2490
Entity
Organization

Contact information

Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
(307) 578-2485
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
(307) 578-2485

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
06-003
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007062
BLUE CROSS
WY
01
041608
BLUE CROSS
WY
05
106133007
WY
Enumeration date
10/17/2006
Last updated
09/25/2012
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