JOHNSON COUNTY MEMORIAL HOSPITAL NPI 1427037407

NPI Information

  • NPI: 1427037407
  • Provider Name: JOHNSON COUNTY MEMORIAL HOSPITAL
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • Doing Business As: AMIE HOLT CARE CENTER
  • CLIA Number: 53D2200067
  • Address: 497 WEST LOTT
    BUFFALO, WY
    ZIP 82834
  • Phone: (307) 684-5521

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NPI Details

JOHNSON COUNTY MEMORIAL HOSPITAL is an adult care home custodial care facility in Buffalo, WY. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. JOHNSON COUNTY MEMORIAL HOSPITAL NPI is 1427037407. The provider is registered as an organization entity type.
The provider Is Doing Business As Amie Holt Care Center.

The provider's business location address is:

497 WEST LOTT
BUFFALO, WY
ZIP 82834-609
Phone: (307) 684-5521
Fax: (307) 684-5385

The provider's authorized official is Luke Senden .
The authorized official title is Administrator and has the following contact phone number (307) 684-5521.

The CLIA number assigned to this NPI record is 53D2200067 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/10/2006 and was last updated on 8/12/2024.

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
1311500000XAlzheimer Center (Dementia Center)06108WYOMINGNo
2311ZA0620XCustodial Care FacilityAdult Care HomeYes
3313M00000XNursing Facility/Intermediate Care Facility06108WYOMINGNo
4315D00000XHospice, Inpatient06108WYOMINGNo
53336L0003XPharmacyLong Term Care Pharmacy5201253WYOMINGNo

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
1106561101MEDICAIDWYOMING
2106561103MEDICAIDWYOMING

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: 11/21/2025

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