| NPI | 1780738153 |
|---|---|
| Doing Business As | POWDER RIVER SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHELLE KIOSCHOS Director 307-688-8600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: WY 15210) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: WY 15210) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2017-03-06 |