Organization
SPRUCE MEDICAL CLINIC
Active
Parent organization
MEMORIAL HOSPITAL OF CARBON COUNTY
Organization subpart
Yes
Provider details
NPI number
Legal business name
MEMORIAL HOSPITAL OF CARBON COUNTY
Authorized official
KARRAN L BEDWELL (VP QUALITY & COMPLIANCE)
(307) 324-8383
Entity
Organization
Contact information
Practice address
1016 W SPRUCE ST, RAWLINS, WY 82301-5371
(307) 321-2221
(307) 324-8232
Mailing address
1016 W SPRUCE ST, P.O. BOX 460, RAWLINS, WY 82301-5371
(307) 321-2221
(307) 324-8232
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/02/2013
Last updated
05/02/2013
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