JOHNSON COUNTY MEMORIAL HOSPITAL (NPI# 1427037407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427037407 |
| Entity Type | Organization |
| Organization Name | JOHNSON COUNTY MEMORIAL HOSPITAL |
| Other Organization Name | AMIE HOLT CARE CENTER |
| Practice Address |
497 West Lott Buffalo WY 82834-1609 |
| Practice Telephone | 3076845521 |
| Practice Fax Number | 3076845385 |
| Mailing Telephone | 3076845521 |
| Mailing Fax Number | 3076845385 |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. KENT WARD (ADMINISTRATOR) |
| Authorized Official Telephone | 3076845521 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 311500000X | Alzheimer Center (Dementia Center) | 06108 | WY | Nursing & Custodial Care Facilities |
| X | 313M00000X | Nursing Facility/Intermediate Care Facility | 06108 | WY | Nursing & Custodial Care Facilities |
| X | 315D00000X | Hospice, Inpatient | 06108 | WY | Nursing & Custodial Care Facilities |
| X | 3336L0003X |
Pharmacy Specialization: Long Term Care Pharmacy |
5201253 | WY | Suppliers |
| Other Name | Type Code |
|---|---|
| Amie Holt Care Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992784961 | Johnson County Memorial Hospital | Home Health | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-10 |
| 1891774873 | Johnson County Memorial Hospital | Hospice Care, Community Based | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-10 |
| 1003894122 | Johnson County Memorial Hospital | General Practice | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-09 |
| Street Address |
497 WEST LOTT |
| City | BUFFALO |
| State | WY |
| Zip Code | 82834-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477531598 | Charles Ray Gosnell | Radiology | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-09 |
| 1912105107 | Blaine J Ruby | Surgery | 497 West Lott, Buffalo, WY 82834-1609 | 2007-07-10 |
| 1003914359 | Gladys Elizabeth Larson | Audiologist | 497 West Lott, Buffalo, WY 82834-1609 | 2006-09-20 |
| 1992784961 | Johnson County Memorial Hospital | Home Health | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-10 |
| 1891774873 | Johnson County Memorial Hospital | Hospice Care, Community Based | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-10 |
| 1003894122 | Johnson County Memorial Hospital | General Practice | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-09 |
| 1285612317 | Family Medical Center | Clinic/Center | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-09 |
| 1346228475 | Mark Steven Schueler | Family Medicine | 497 West Lott, Buffalo, WY 82834-1609 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083993216 | Matthew Rick Raney | Dentist | 1001 Eagle View Drive, Buffalo, WY 82834 | 2011-08-05 |
| 1083881262 | Sandra K Ham | Nurse Practitioner | 107 W Hesse, Buffalo, WY 82834 | 2008-05-15 |
| 1366502726 | Cotant Family Dentistry, P.C. | Dental Hygienist | 112 High Street, Buffalo, WY 82834 | 2006-12-08 |
| 1487755823 | Jeanne Louise Peterson | Midwife | 30 Luna, Buffalo, SC 82834 | 2006-09-26 |
| 1902873193 | James Loren Johnson Jr. | Chiropractor | 963 Fort St, 4, Buffalo, WY 82834 | 2006-03-07 |
| 1043854888 | Wayne Kenneth Mcpherson Jr. | Marriage & Family Therapist | 512 W. Lott, Buffalo, WY 82834-1336 | 2019-11-05 |
| 1194248625 | Thales Christian Haskell | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1417 | 2017-07-17 |
| 1528094158 | James Joseph Shubert | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2006-06-24 |
| 1457631558 | Eagle Summit Dental Clinic, Inc | Dentist | 1001 Eagle View Dr, Buffalo, WY 82834-1422 | 2011-08-19 |
| 1366719718 | Bidonde Family Practice, LLC | Nurse Practitioner | 107 W Hesse St, Buffalo, WY 82834-1501 | 2011-11-29 |
| Find all providers in zip 82834 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
Please comment or provide details below to improve the information on JOHNSON COUNTY MEMORIAL HOSPITAL.
| 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.