Organization
SPIRIT MOUNTAIN HOSPICE
Active
Organization
SPIRIT MOUNTAIN HOSPICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGALS ALAN MCMILLAN (CEO)
(307) 578-2489
Entity
Organization
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 578-2413
(307) 578-2294
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 578-2413
(307) 578-2294
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
06-181
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106133007
—
WY
Enumeration date
01/27/2006
Last updated
02/18/2021
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