Organization
WASHAKIE MEDICAL CENTER
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
LISA VAN BRUNT (CEO)
(307) 347-3221
Entity
Organization
Contact information
Practice address
400 S 15TH ST, WORLAND, WY 82401-3531
(307) 347-3221
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
06196
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106535100
—
WY
05
—
106535101
—
WY
Enumeration date
06/26/2006
Last updated
04/03/2026
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