Organization
CASTLE ROCK SPECIAL HOSPITAL DISTRICT
Active
Other names
Castle Rock Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN BYBEE (CHIEF FINANCIAL OFFICER)
(307) 872-4530
Entity
Organization
Contact information
Practice address
1400 UINTA DR, GREEN RIVER, WY 82935-5060
(307) 872-4500
(307) 872-4595
Mailing address
1400 UINTA DR, GREEN RIVER, WY 82935-5060
(307) 872-4500
(307) 872-4595
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
—
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1064282-04
—
WY
01
—
300028680
RAILROAD MEDICARE PIN
WY
Enumeration date
01/25/2007
Last updated
03/28/2008
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