Organization
JOHNSON COUNTY MEMORIAL HOSPITAL
Active
Other names
Amie Holt Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE SENDEN (ADMINISTRATOR)
(307) 684-5521
Entity
Organization
Contact information
Practice address
497 WEST LOTT, BUFFALO, WY 82834-1609
(307) 684-5521
(307) 684-5385
Mailing address
497 WEST LOTT, BUFFALO, WY 82834-1609
(307) 684-5521
(307) 684-5385
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
06108
WY
311ZA0620X
Adult Care Home Facility
Primary
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
06108
WY
315D00000X
Inpatient Hospice
06108
WY
3336L0003X
Long Term Care Pharmacy
5201253
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106561101
—
WY
05
—
106561103
—
WY
Enumeration date
01/10/2006
Last updated
08/12/2024
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