MEMORIAL HOSPITAL OF CARBON COUNTY NPI 1194869115

NPI Information

NPI: 1194869115
Provider Name: MEMORIAL HOSPITAL OF CARBON COUNTY

Doing Business As: ENERGY BASIN CLINIC

Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

Address:
1008 FELDSPAR COURT
HANNA, WY
ZIP 82327
Phone: (307) 325-6596
Get Directions

MEMORIAL HOSPITAL OF CARBON COUNTY is a rural health clinic center in Hanna, WY. MEMORIAL HOSPITAL OF CARBON COUNTY NPI is 1194869115. The provider is registered as an organization entity type.
The provider Is Doing Business As Energy Basin Clinic.

The provider's business location address is:

1008 FELDSPAR COURT
HANNA, WY
ZIP 82327
Phone: (307) 325-6596
Fax: (307) 325-6597

The provider's authorized official is Michelle Keplinger .
The authorized official title is Cfo and has the following contact phone number (307) 324-8347.

The CLIA number assigned to this NPI record is 53D0887256 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 2/16/2007 and was last updated on 6/15/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR1300X	Clinic/Center	Rural Health	2916A	WYOMING	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00863001	OTHER	WYOMING	BCBS OF WYOMING
2	4370549	MEDICARE PIN	WYOMING
3	=========	OTHER	WYOMING	WORKERS COMP
4	107205600	MEDICAID	WYOMING
5	185872500	OTHER	WYOMING	FEDERAL WORKERS COMP
6	1399310	OTHER	WYOMING	UMWA
7	=========82327A001	OTHER	WYOMING	TRIWEST
8	CC7577	MEDICARE ID-TYPE UNSPECIFIED	WYOMING	RR MEDICARE GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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