MEMORIAL HOSPITAL OF CARBON COUNTY (NPI# 1508900341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508900341 |
| Entity Type | Organization |
| Organization Name | MEMORIAL HOSPITAL OF CARBON COUNTY |
| Other Organization Name | WAGON CIRCLE FAMILY MEDICAL CLINIC |
| Practice Address |
2012 W Elm Street Rawlins WY 82301 |
| Mailing Address |
Po Box 944 Rawlins WY 82301-0944 |
| Practice Telephone | 3073249098 |
| Practice Fax Number | 3073246726 |
| Mailing Telephone | 3073249098 |
| Mailing Fax Number | 3073246726 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2017-06-15 |
| Authorized Official Name | MICHELLE KEPLINGER (CFO) |
| Authorized Official Telephone | 3073248347 |
| Is Organization Subpart | Y |
| Parent Organization Name | MEMORIAL HOSPITAL OF CARBON COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4625A | WY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WY | BCBS OF WYOMING | 05726001 | 01 |
| WY | RR MEDICARE | DD2243 | 01 |
| WY | 120726100 | 05 |
| Other Name | Type Code |
|---|---|
| Wagon Circle Family Medical Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174833719 | Memorial Hospital of Carbon County | Clinic/Center | 2213 E Cedar St, Rawlins, WY 82301-6027 | 2010-10-18 |
| 1992929285 | Memorial Hospital of Carbon County | Clinical Medical Laboratory | 2221 West Elm Str., Rawlins, WY 82301 | 2007-04-11 |
| 1295896496 | Memorial Hospital of Carbon County | Home Health | 2221 West Elm Street, Rawlins, WY 82301-5108 | 2006-12-12 |
| 1598371692 | Memorial Hospital of Carbon County | Pharmacy | 2221 Elm St, Rawlins, WY 82301-5108 | 2020-09-23 |
| 1548560204 | Memorial Hospital of Carbon County | General Practice | 2213 E Cedar St, Rawlins, WY 82301-6027 | 2010-10-28 |
| 1891006839 | Memorial Hospital of Carbon County | Medicare Defined Swing Bed Unit | 2221 Elm St, Rawlins, WY 82301-5108 | 2010-06-24 |
| 1710298757 | Memorial Hospital of Carbon County | General Acute Care Hospital | 2221 Elm St, Rawlins, WY 82301-0460 | 2010-06-24 |
| 1922142777 | Memorial Hospital of Carbon County | Orthopaedic Surgery | 2012 W Elm Street, Rawlins, WY 82301 | 2007-02-16 |
| 1194869115 | Memorial Hospital of Carbon County | Clinic/Center | 1008 Feldspar Court, Hanna, WY 82327 | 2007-02-16 |
| 1417031311 | Memorial Hospital of Carbon County | Medicare Defined Swing Bed Unit | 2221 W Elm St, Rawlins, WY 82301 | 2006-10-25 |
| Street Address |
2012 W ELM STREET |
| City | RAWLINS |
| State | WY |
| Zip Code | 82301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538239454 | Kenneth William Schulze Jr. | Orthopaedic Surgery | 2012 W Elm Street, Rawlins, WY 82301 | 2006-11-08 |
| 1922142777 | Memorial Hospital of Carbon County | Orthopaedic Surgery | 2012 W Elm Street, Rawlins, WY 82301 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583606 | Kyliah Petrita Ferris | Speech-Language Pathologist | 1801 Edinburgh Street #2, Rawlins, WY 82301 | 2020-09-16 |
| 1427571454 | Levi Pearce Brinkerhoff | Dentist | 2900 S Higley Blvd, Rawlins, WY 82301 | 2017-07-21 |
| 1861928012 | Stephanie Murry | Speech-Language Pathologist | 1801 Edinburgh, Rawlins, WY 82301 | 2017-05-10 |
| 1992167811 | Gwen Louise Gale | Registered Nurse | 2 North Cherokee Rd, Rawlins, WY 82301 | 2016-03-22 |
| 1194109520 | Alison Brown | Case Management | 2014 E Cedar St Suite B, Rawlins, WY 82301 | 2015-07-15 |
| 1003238718 | Jessica Zamudio Bright | Marriage & Family Therapist | 1800 Edinburgh Street, Rawlins, WY 82301 | 2014-01-15 |
| 1093149965 | Michele Dolores Deherrera | Social Worker | 1800 Edinburgh, Rawlins, WY 82301 | 2013-08-28 |
| 1295019693 | Amber Jeanne Green | Case Manager/Care Coordinator | 1209 Lambda Dr, Rawlins, WY 82301 | 2011-10-04 |
| 1730477266 | Cowboy Urgent Care, Inc | Clinic/Center | 519 8th Street, Rawlins, WY 82301 | 2011-07-19 |
| 1588990949 | Skylar Jason Brenden | Chiropractor | 801 West Maple, Rawlins, WY 82301 | 2009-10-20 |
| Find all providers in zip 82301 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306008008 | Joan Robia Johnson | Family Medicine | 1016 W Spruce St Unit A, Rawlins, WY 82301-5371 | 2008-06-25 |
| 1730228917 | John William Whitaker | Family Medicine | 1016 W Spruce St, Rawlins, WY 82301-5371 | 2007-02-05 |
| 1538252077 | Charles C Young | Family Medicine | 1812 Daley St, Rawlins, WY 82301-5912 | 2006-10-02 |
| 1023038510 | Rawlins Family Medical, PC | Family Medicine | 606 23rd St, Rawlins, WY 82301-5127 | 2006-07-20 |
| 1497756118 | David R Cesko | Family Medicine | 819 W Maple St, Rawlins, WY 82301-5462 | 2005-08-03 |
| 1013528298 | Valence Health Corp PC | Family Medicine | 1016 W Spruce St Unit A, Rawlins, WY 82301-5371 | 2020-08-12 |
| 1760956924 | Mountain Trail Medical | Family Medicine | 542 16th St, Rawlins, WY 82301-5241 | 2019-01-21 |
| 1912455155 | Charles C Young Md LLC | Family Medicine | 1812 Daley St, Rawlins, WY 82301-5912 | 2016-09-16 |
| 1508152786 | Stephanie Chiu | Family Medicine | 2221 Elm St, Rawlins, WY 82301-5108 | 2011-06-25 |
| 1366621476 | Cesko Family Practice PC | Family Medicine | 819 W Maple St, Rawlins, WY 82301-5462 | 2007-10-25 |
| Find all providers in RAWLINS | ||||
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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.