Organization
FAMILY MEDICAL CENTER
Active
Parent organization
JOHNSON COUNTY HOSPITAL DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOHNSON COUNTY HOSPITAL DISTRICT
Authorized official
MR. KENT WARD (ADMINISTRATOR)
(307) 684-5521
Entity
Organization
Contact information
Practice address
497 WEST LOTT, BUFFALO, WY 82834-1609
(307) 684-5521
(307) 684-5385
Mailing address
497 WEST LOTT, BUFFALO, WY 82834-1609
(307) 684-5521
(307) 684-5385
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108205100
—
WY
Enumeration date
01/09/2006
Last updated
04/24/2013
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