| Organization Name: | JOHNSON COUNTY MEMORIAL HOSPITAL |
| NPI Number: | 1003894122 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENT WARD (ADMINISTRATOR) |
| Mailing Address: | 497 West Lott Buffalo |
| State: | WY US |
| Postal Code: | 828341609 |
| Phone Number: | 3076846188 |
| Fax Number: | 3076845385 |
| NPI Enumeration Date: | 01/09/2006 |
| NPI Last Update Date: | 10/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 06140 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |