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Organization

CROOK COUNTY MEDICAL SERVICES DISTRICT

Active
Parent organization
CROOK COUNTY MEDICAL SERVICES DISTRICT
Other names
Crook County Home Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
CROOK COUNTY MEDICAL SERVICES DISTRICT
Authorized official
MICKI DAHNE LYONS DNP (CEO)
(307) 283-3501
Entity
Organization

Contact information

Practice address
713 OAK STREET, SUNDANCE, WY 82729-0517
(307) 283-3501
(307) 283-2255
Mailing address
PO BOX 517, 713 OAK STREET, SUNDANCE, WY 82729-0517
(307) 283-3501
(307) 283-2255

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
07-100
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
106168207
WY
05
106168208
WY
Enumeration date
12/01/2006
Last updated
09/24/2020
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