| NPI | 1548364615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY A. SCHROEDER CEO 307-548-5203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282NC0060X General Acute Care Hospital, Critical Access (Licence: WY 07-128) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies (Licence: WY 07-169) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2014-10-16 |