Organization
WEST PARK HOSPITAL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS MCMILLAN (CEO)
(307) 578-2488
Entity
Organization
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
(307) 578-2485
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 527-7501
(307) 578-2485
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
06-003
WY
3336L0003X
Long Term Care Pharmacy
52-01265-IP
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007062
BLUE CROSS
WY
05
—
106133004
—
WY
05
—
106133005
—
WY
Enumeration date
10/25/2005
Last updated
02/18/2021
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