Organization
WASHAKIE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA VAN BRUNT (CEO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
400 S 15TH ST, WORLAND, WY 82401-3531
(307) 347-3221
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
53Z306
MEDICARE
WY
Enumeration date
01/16/2007
Last updated
09/02/2025
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