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Organization

MEMORIAL HOSPITAL OF LARAMIE COUNTY

Active
Parent organization
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Other names
Platte County Home Care a service of Cheyenne Regional Medical Center
Organization subpart
Yes

Provider details

NPI number
Legal business name
MEMORIAL HOSPITAL OF LARAMIE COUNTY
Authorized official
JOHN LUCAS (CHIEF EXECUTIVE OFFICER)
(307) 634-2273
Entity
Organization

Contact information

Practice address
814 8TH ST, WHEATLAND, WY 82201-2980
(307) 322-5891
(307) 322-5893
Mailing address
814 8TH ST, WHEATLAND, WY 82201-2980
(307) 322-5891
(307) 322-5893

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
07-218
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
120486600
WY
05
120486601
WY
Enumeration date
01/26/2007
Last updated
07/20/2012
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