Organization
MEMORIAL HOSPITAL OF CARBON COUNTY
Active
Parent organization
MEMORIAL HOSPITAL OF CARBON COUNTY
Other names
Energy Basin Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL OF CARBON COUNTY
Authorized official
MICHELLE KEPLINGER (CFO)
(307) 324-8347
Entity
Organization
Contact information
Practice address
1008 FELDSPAR COURT, HANNA, WY 82327
(307) 325-6596
(307) 325-6597
Mailing address
PO BOX 689, HANNA, WY 82327-0689
(307) 325-6596
(307) 325-6597
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
2916A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00863001
BCBS OF WYOMING
WY
05
—
107205600
—
WY
01
—
1399310
UMWA
WY
01
—
185872500
FEDERAL WORKERS COMP
WY
Enumeration date
02/16/2007
Last updated
06/15/2017
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