| NPI | 1497753115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY ODOM CEO 307-754-1107 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital Critical Access (Licence: WY 07084) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital Rural (Licence: WY 10207) |
| 3416L0300X Ambulance Land Transport (Licence: WY 065) | |
| Enumeration Date | 2005-07-08 |
| Last Update Date | 2022-02-07 |