Organization
JOHNSON COUNTY MEMORIAL HOSPITAL
Active
Other names
Johnson County Healthcare Center Home Health Agency
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUKE SENDEN (CEO)
(307) 684-6188
Entity
Organization
Contact information
Practice address
497 WEST LOTT, BUFFALO, WY 82834-1609
(307) 684-5521
(307) 684-5385
Mailing address
497 WEST LOTT, BUFFALO, WY 82834-1609
(307) 684-5521
(307) 684-5385
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
06049
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106561105
—
WY
01
—
106561106
MEDICAID WAIVER
WY
01
—
530026
WORKERS COMP
WY
Enumeration date
01/10/2006
Last updated
08/12/2024
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