Organization
MEMORIAL HOSPITAL OF CONVERSE COUNTY
Active
Other names
Register Cliff Rural Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CURT DUGGER (CFO)
(307) 358-2122
Entity
Organization
Contact information
Practice address
650 W WHALEN, GUERNSEY, WY 82214-9999
(307) 836-3009
(307) 836-3022
Mailing address
PO BOX 1450, DOUGLAS, WY 82633-1450
(307) 358-2122
(307) 358-9216
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
07163
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107215318
—
WY
Enumeration date
08/08/2006
Last updated
03/05/2013
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