Organization
GLENROCK HOSPITAL DISTRICT
Active
Other names
glenrock health center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ASHLEY MARIE OVIEDO-LOPEZ FNPC (ADMINISTRATOR)
(307) 436-9206
Entity
Organization
Contact information
Practice address
925 W BIRCH STREET, GLENROCK, WY 82637-0786
(307) 436-9206
(307) 436-9730
Mailing address
PO BOX 786, 925 W BIRCH, GLENROCK, WY 82637-0786
(307) 436-9206
(307) 436-9730
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108690100
—
WY
Enumeration date
02/21/2007
Last updated
02/13/2025
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