| Organization Name: | WASHAKIE MEDICAL CENTER |
| NPI Number: | 1114119799 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | HEIDI ANN JOHNSON (PTA) |
| Mailing Address: | 400 S 15th St Worland |
| State: | WY US |
| Postal Code: | 824013531 |
| Phone Number: | 3073476952 |
| Fax Number: | 3073476962 |
| NPI Enumeration Date: | 08/16/2007 |
| NPI Last Update Date: | 08/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC0060X |
| License Number: | 480 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WY |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Critical Access |
| Taxonomy Definition: | |