Healthcare Provider Details

I. General information

NPI: 1942921937
Provider Name (Legal Business Name): WEST PARK HOSPITAL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/07/2022
Last Update Date: 09/17/2025
Certification Date: 09/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 143
BASIN WY
82410-0143
US

IV. Provider business mailing address

707 SHERIDAN AVE
CODY WY
82414-3409
US

V. Phone/Fax

Practice location:
  • Phone: 307-568-3700
  • Fax: 307-586-2217
Mailing address:
  • Phone: 307-527-7501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: HANNAH HANNAH MCRAE
Title or Position: CEO
Credential:
Phone: 307-578-2490