Organization Name: | MEMORIAL HOSPITAL OF CARBON COUNTY |
NPI Number: | 1548560204 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KARRAN BEDWELL (VP PATIENT SERVICES) |
Mailing Address: | 2213 E Cedar St Rawlins |
State: | WY US |
Postal Code: | 823016027 |
Phone Number: | 3073246711 |
Fax Number: | 3073248232 |
NPI Enumeration Date: | 10/28/2010 |
NPI Last Update Date: | 10/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |