MEMORIAL HOSPITAL OF CONVERSE COUNTY (NPI# 1326085408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326085408 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
| Practice Address |
111 S 5th St Douglas WY 82633-2434 |
| Practice Telephone | 3073582122 |
| Practice Fax Number | 3073589216 |
| Mailing Telephone | 3073582122 |
| Mailing Fax Number | 3073589216 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2011-02-23 |
| Authorized Official Name | CURTIS R DUGGER (CONTROLLER) |
| Authorized Official Telephone | 3073582122 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
06141 | WY | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | 107215312 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871503375 | Memorial Hospital of Converse County | Clinic/Center | 650 W Whalen, Guernsey, WY 82214-9999 | 2006-08-08 |
| 1679582357 | Memorial Hospital of Converse County | Clinic/Center | 525 East Birch Street, Glenrock, WY 82637 | 2006-08-05 |
| 1003413212 | Memorial Hospital of Converse County | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2020-10-01 |
| 1356496491 | Memorial Hospital of Converse County | General Practice | 111 S 5th St, Douglas, WY 82633-2434 | 2007-01-25 |
| 1285643221 | Memorial Hospital of Converse County | Medicare Defined Swing Bed Unit | 111 S 5th St, Douglas, WY 82633-2434 | 2006-08-07 |
| Street Address |
111 S 5TH ST |
| City | DOUGLAS |
| State | WY |
| Zip Code | 82633-2434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689670267 | Phillip O Tigert | Physician Assistant | 111 S 5th St, Douglas, WY 82633-2434 | 2005-06-28 |
| 1972110138 | Melanie Hummert | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2020-09-30 |
| 1467070730 | Jordon Jacklin | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2020-07-13 |
| 1225662216 | Sara Marie Thronburg | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633-2434 | 2020-02-27 |
| 1902447477 | Amanda Kay Dykes | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633 | 2019-10-04 |
| 1043867872 | Aaron Bernal | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2019-08-26 |
| 1033765821 | Hannah Williams | Occupational Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2019-08-16 |
| 1710457601 | Michael Jeremey Littleton | Emergency Medical Technician, Paramedic | 111 S 5th St, Douglas, WY 82633-2434 | 2018-12-04 |
| 1275054751 | Shelby Hoskinson | Physical Therapist | 111 S 5th St, Douglas, WY 82633-2434 | 2017-07-05 |
| 1811447956 | Melissa Renee Bulkley | Nurse Practitioner | 111 S 5th St, Douglas, WY 82633-2434 | 2016-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710304399 | A Keeler Family Dental, LLC | Dentist | 1010 E Richards Street, Douglas, WY 82633 | 2014-03-21 |
| 1578836805 | Dawn Marie Marchak-cundy | Counselor | 1841 Madora Avenue, Douglas, WY 82633 | 2012-02-16 |
| 1982894739 | Tanisha Crystal Dexter | Pharmacist | 1202 East Richards Street, Douglas, WY 82633 | 2007-07-27 |
| 1669521324 | Stephan Paul Ediss | Chiropractor | 1330 E. Richards, Douglas, WY 82633 | 2007-01-10 |
| 1831280221 | Shauna R Kohler | Nurse Anesthetist, Certified Registered | 111 S 5th Street, Douglas, WY 82633 | 2006-09-28 |
| 1255438651 | County of Converse | Public Health or Welfare | 442 Center, Douglas, WY 82633 | 2006-09-20 |
| 1104834134 | Mark W Townsend | Dentist | 820 So 10th, Douglas, WY 82633 | 2006-08-04 |
| 1548206642 | Douglas Care Center, LLC | Skilled Nursing Facility | 1108 Birch, Douglas, WY 82633 | 2006-06-20 |
| 1023061223 | North Platte Physical Therapy Services Inc | Physical Therapist | Crook Co Memorial Serv Dist, Sundance, WY 82633 | 2006-05-18 |
| 1235611468 | Jessica Renee Snyder | Social Worker | 1841 Madora Ave, Douglas, WY 82633 | 2018-09-04 |
| Find all providers in zip 82633 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720536915 | Bisbee Hospital Association | General Acute Care Hospital | 100 E 5th St, Douglas, AZ 85607-2859 | 2016-09-15 |
| 1992127716 | Douglas Community Hospital | General Acute Care Hospital | 2174 W Oak Ave, Douglas, AZ 85607 | 2014-01-14 |
| 1427228212 | Community Healthcare of Douglas | General Acute Care Hospital | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2008-03-07 |
| 1760483994 | Community Healthcare of Douglas Inc | General Acute Care Hospital | 2174 W Oak Ave, Douglas, AZ 85607-6003 | 2005-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174052989 | Platte County Memorial Hospital | General Acute Care Hospital | 1 E Whalen St, Guernsey, WY 82214 | 2017-06-06 |
| 1255376406 | North Lincoln County Hospital District | General Acute Care Hospital | 901 Adams St, Afton, WY 83110-9621 | 2006-06-19 |
| 1427091347 | Niobrara County Hospital District | General Acute Care Hospital | 921 S Ballancee Avenue, Lusk, WY 82225 | 2006-06-14 |
| 1013919794 | South Big Horn County Hospital District | General Acute Care Hospital | 388 South Us Hwy 20, Basin, WY 82410-8902 | 2005-08-12 |
| 1164950036 | Community Hospital | General Acute Care Hospital | 625 Albany Ave, Torrington, WY 82240-1530 | 2017-05-23 |
| 1518495498 | Platte County Memorial Hospital | General Acute Care Hospital | 1551 Brice St, Wheatland, WY 82201-3505 | 2017-05-23 |
| 1073064705 | Jack Hildner | General Acute Care Hospital | 1001 West Main Street, Riverton, WY 82501 | 2016-10-18 |
| 1740665983 | Community Hospital | General Acute Care Hospital | 2000 Campbell Dr, Torrington, WY 82240-1528 | 2015-07-29 |
| 1225337181 | Crook County Medical Services District | General Acute Care Hospital | 713 Oak Street, Sundance, WY 82729-0517 | 2011-03-17 |
| 1710298757 | Memorial Hospital of Carbon County | General Acute Care Hospital | 2221 Elm St, Rawlins, WY 82301-0460 | 2010-06-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.