Organization
MEMORIAL HOSPITAL OF CARBON COUNTY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY LYNN COULSTON (CFO)
(208) 818-4888
Entity
Organization
Contact information
Practice address
2221 ELM ST, RAWLINS, WY 82301-0460
(307) 324-8221
(307) 324-8232
Mailing address
2221 ELM ST, P.O. BOX 460, RAWLINS, WY 82301-5108
(307) 324-8221
(307) 324-8232
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107207200
—
WY
01
—
CP0162
RAILROAD MEDICARE
WY
01
—
W4252409
MEDICARE PART B PTAN
WY
Enumeration date
06/24/2010
Last updated
04/16/2026
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