MEDICARE: NORTH BIG HORN HOSPITAL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332BN1400X	Nursing Facility Supplies (DME)	07-169	WY
2	282NC0060X	Critical Access Hospital	07-128	WY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548364615
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH BIG HORN HOSPITAL DISTRICT

Provider Business Mailing Address
First Line	:	1115 LANE 12
Second Line	:
City	:	LOVELL
State	:	WY
Zip	:	82431-9537
Country	:	US
Telephone Number	:	307-548-5200
Fax Number	:	307-548-5244

Provider Business Practice Location Address
First Line	:	1115 LANE 12
Second Line	:
City	:	LOVELL
State	:	WY
Zip	:	82431-9537
Country	:	US
Telephone Number	:	307-548-5200
Fax Number	:	307-548-5244

Authorized Official
Title or Position	:	CEO
Name	:	MR. ERIC S. CONNELL
Credential	:
Telephone Number	:	307-548-5203

Provider Enumeration Date	:	09/11/2006
Last Update Date	:	05/06/2025

Similar Medicare Providers

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Practice Location Address:

1115 LANE 12
LOVELL, WY
82431-9537

Practice Phone: 307-548-5200
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1467470732 — RICHARD E JAY D.O.
Practice Location Address:

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1992817381 — DR. TROY J CALDWELL M.D.
Practice Location Address:

1115 LANE 12
LOVELL, WY
82431-9537

Practice Phone: 307-548-5201
Practice Fax: 307-548-5224

1073625406 — MR. KENNETH W. FERBRACHE P.A.
Practice Location Address:

1115 LANE 12
LOVELL, WY
82431-9537

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Practice Fax: 307-548-5224

1750485793 — NORTH BIG HORN HOSPITAL
Practice Location Address:

1115 LANE 12
LOVELL, WY
82431-9537

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1467550392 — NORTH BIG HORN HOSPITAL DISTRICT
Practice Location Address:

1111 LANE 12
LOVELL, WY
82431-9537

Practice Phone: 307-548-5200
Practice Fax: 307-548-5205

Directions to “NORTH BIG HORN HOSPITAL DISTRICT ” Practice Location

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