Organization
SOUTH LINCOLN HOSPITAL DISTRICT
Active
Other names
South Lincoln Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ERIC H BOLEY (CEO/ADMINISTRATOR)
(307) 877-4401
Entity
Organization
Contact information
Practice address
711 ONYX STREET, KEMMERER, WY 83101-3214
(307) 877-4401
(307) 877-3236
Mailing address
711 ONYX STREET, KEMMERER, WY 83101-3214
(307) 877-4401
(307) 877-3236
Taxonomy
Speciality
Code
Description
License number
State
282NR1301X
Rural Acute Care Hospital
Primary
06-148
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105993905
—
WY
Enumeration date
09/12/2006
Last updated
01/05/2012
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