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Organization

WYOMING MEDICAL CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANCE PORTER (CEO)
(602) 747-4000
Entity
Organization

Contact information

Practice address
1233 E 2ND ST, CASPER, WY 82601-2926
(307) 577-2171
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
07148
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00701001
BLUE SHIELD
01
007047
BLUE CROSS
05
106898900
WY
01
=========
ALL OTHER PAYERS
01
CC7579
MEDICARE RR
WY
Enumeration date
09/29/2006
Last updated
04/03/2026
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