MEMORIAL HOSPITAL OF CONVERSE COUNTY (NPI# 1679582357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679582357 |
Entity Type | Organization |
Organization Name | MEMORIAL HOSPITAL OF CONVERSE COUNTY |
Other Organization Name | OREGON TRAIL RURAL HEALTH CLINIC |
Practice Address |
525 East Birch Street Glenrock WY 82637 |
Mailing Address |
Po Box 1450 Douglas WY 82633-1450 |
Practice Telephone | 3074368838 |
Practice Fax Number | 3074362476 |
Mailing Telephone | 3073582122 |
Mailing Fax Number | 3073589216 |
Enumeration Date | 2006-08-05 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MR. CURT DUGGER (CFO) |
Authorized Official Telephone | 3073582122 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
07163 | WY | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Oregon Trail Rural Health Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871503375 | Memorial Hospital of Converse County | Clinic/Center | 650 W Whalen, Guernsey, WY 82214-9999 | 2006-08-08 |
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 |
1326085408 | Memorial Hospital of Converse County | General Acute Care Hospital | 111 S 5th St, Douglas, WY 82633-2434 | 2006-05-31 |
Street Address |
525 EAST BIRCH STREET |
City | GLENROCK |
State | WY |
Zip Code | 82637 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477044261 | Audrey Boespflug | Social Worker | 925 W. Birch St, Glenrock, WY 82637 | 2018-05-29 |
1568971836 | Breanna Jewel St. Gelais | Doula | 167 Fort Laramie Street, Glenrock, WY 82637 | 2017-09-29 |
1033407531 | Aaron David Larsen | Dentist | 925 Wbirch, Glenrock, WY 82637 | 2011-07-18 |
1043529662 | A Step Forward L.L.C. | Counselor | 506 West Birch, Suite 14, Glenrock, WY 82637 | 2010-09-30 |
1609023878 | Quality of Life, P.C. | Nurse Practitioner | 506 Birch St., Glenrock, WY 82637 | 2008-08-19 |
1730303587 | Sarah Virginia Stalker | Pharmacist | 925 W Birch, Glenrock, WY 82637 | 2007-04-12 |
1851481386 | Deborah S Heyer | General Practice | 525 E Birch, Glenrock, WY 82637 | 2006-10-13 |
1922470293 | Casper Mountain Dental | Dentist | 925 W Birch Street, Glenrock, WY 82637 | 2015-10-27 |
1033528666 | Sara E Malsom | Physician Assistant | 925 W Birch, Glenrock, WY 82637 | 2014-08-07 |
1508992603 | Kathleen Meehan Murphy | Dentist | 925 W Birch St, Glenrock, WY 82637 | 2007-02-26 |
Find all providers in zip 82637 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376084160 | Platte County Memorial Hospital | Clinic/Center | 1 E. Whalen St., Guernsey, WY 82214 | 2017-03-14 |
1477789790 | Bartholomew Family Medicine, PC | Clinic/Center | 1208 S. River St, Saratoga, WY 82331-0648 | 2009-06-01 |
1659537694 | Cedar Hills Family Clinic, P.C. | Clinic/Center | 717 Pine Street, Upton, WY 82730 | 2008-07-30 |
1831242759 | Platte Valley Medical Clinic PC | Clinic/Center | 1208 South River Street, Saratoga, WY 82331 | 2007-01-22 |
1487756102 | Medicine Bow Health Center, Inc. | Clinic/Center | 514 Idaho Dr, Medicine Bow, WY 82329-0037 | 2006-09-02 |
1871503375 | Memorial Hospital of Converse County | Clinic/Center | 650 W Whalen, Guernsey, WY 82214-9999 | 2006-08-08 |
1750311072 | Lusk Medical Clinic | Clinic/Center | 119 West 3rd Street, Lusk, WY 82225 | 2006-07-03 |
1184611089 | Noyes Health Care Center Inc | Clinic/Center | 305 Whippoorwill St, Pob 307, Baggs, WY 82321-0307 | 2005-10-05 |
1003413212 | Memorial Hospital of Converse County | Clinic/Center | 1356 Shiek St, Wheatland, WY 82201-3231 | 2020-10-01 |
1225666332 | Hot Springs County Hospital District | Clinic/Center | 1125 Charles Ave, Worland, WY 82401-4021 | 2020-04-01 |
Find all providers with the same taxonomy |
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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.