| NPI | 1275916660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN BOURLIER-CHILDRESS Mid Level Provider 307-633-7670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |