Organization
PLATTE COUNTY MEMORIAL HOSPITAL
Active
Parent organization
BANNER HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
BANNER HEALTH
Authorized official
DENNIS LARAWAY (CFO)
(602) 747-4000
Entity
Organization
Contact information
Practice address
201 14TH ST, WHEATLAND, WY 82201-3201
(307) 322-3636
(307) 322-5755
Mailing address
2901 N CENTRAL AVE STE 160, PHOENIX, AZ 85012-2702
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HSA
BCBS
—
Enumeration date
07/29/2015
Last updated
12/30/2021
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