Organization Name: | GLENROCK HOSPITAL DISTRICT |
NPI Number: | 1285854174 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TERRI SIMON (OFFICE MANAGER) |
Mailing Address: | 925 W Birch St Glenrock |
State: | WY US |
Postal Code: | 826370786 |
Phone Number: | 3074369206 |
Fax Number: | 3074369730 |
NPI Enumeration Date: | 04/26/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2471C3402X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Radiologic Technologist |
Taxonomy Specialization: | Radiography |
Taxonomy Definition: |