Organization
MEMORIAL HOSPITAL OF CARBON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELLE KEPLINGER (CFO)
(307) 324-8347
Entity
Organization
Contact information
Practice address
2221 W ELM ST, RAWLINS, WY 82301
(307) 324-2221
(307) 324-8368
Mailing address
PO BOX 460, RAWLINS, WY 82301-0460
(307) 324-2221
(307) 324-8368
Taxonomy
Speciality
Code
Description
License number
State
275N00000X
Medicare Defined Swing Bed Hospital Unit
08-187
WY
282N00000X
General Acute Care Hospital
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007211
BLUE CROSS BLUE SHEILD UB
WY
01
—
00738001
BLX BLS 1500
WY
05
—
107207200
—
WY
05
—
107207201
—
WY
05
—
107207202
—
WY
05
—
107207203
—
WY
05
—
107207204
—
WY
05
—
107207206
—
WY
05
—
107207209
—
WY
Enumeration date
10/25/2006
Last updated
06/15/2017
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