Organization
WEST PARK HOSPITAL DISTRICT
Active
Parent organization
WEST PARK HOSPITAL DISTRICT
Other names
Dialysis
Organization subpart
Yes
Provider details
NPI number
Legal business name
WEST PARK HOSPITAL DISTRICT
Authorized official
DOUGALS ALAN MCMILLAN (CEO)
(307) 578-2489
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
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
06-003
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007062
BLUE CROSS
WY
01
—
041794
BLUE CROSS
WY
05
—
106133005
—
WY
Enumeration date
10/17/2006
Last updated
02/18/2021
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