Organization
MEMORIAL HOSPITAL OF CONVERSE COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CURTIS R DUGGER (CONTROLLER)
(307) 358-2122
Entity
Organization
Contact information
Practice address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-2122
(307) 358-9216
Mailing address
111 S 5TH ST, DOUGLAS, WY 82633-2434
(307) 358-2122
(307) 358-9216
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
06141
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107215312
—
WY
Enumeration date
05/31/2006
Last updated
02/23/2011
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