Organization
CROOK COUNTY MEDICAL SERVICES DISTRICT
Active
Other names
Crook County Memorial Hospital
Organization subpart
No
Provider details
NPI number
Authorized official
MICKI DAHNE LYONS DNP (CEO)
(307) 283-3501
Entity
Organization
Contact information
Practice address
713 OAK STREET, SUNDANCE, WY 82729-0517
(307) 283-3501
(307) 283-2255
Mailing address
713 OAK STREET, PO BOX 517, SUNDANCE, WY 82729-0517
(307) 283-3501
(307) 283-2255
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
07-127
WY
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
314000000X
Skilled Nursing Facility
—
—
315D00000X
Inpatient Hospice
—
—
3416L0300X
Land Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106168200
—
WY
05
—
106168202
—
WY
05
—
106168203
—
WY
05
—
106168204
—
WY
05
—
106168211
—
WY
Enumeration date
11/29/2006
Last updated
09/20/2022
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