Organization
MEMORIAL HOSPITAL OF CARBON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD D WHITE (CFO)
(307) 324-2221
Entity
Organization
Contact information
Practice address
2221 WEST ELM STREET, RAWLINS, WY 82301-5108
(307) 324-2221
(307) 324-8232
Mailing address
2221 WEST ELM STREET, RAWLINS, WY 82301-5108
(307) 324-2221
(307) 324-8232
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
07117
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107207207
—
WY
05
—
107207208
—
WY
Enumeration date
12/12/2006
Last updated
09/01/2010
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